目的 探讨早期干预对早产儿扭转阶段全身运动质量(general movements,GMs)影响,以在临床上指导早产儿进行早期干预,提高神经发育预后。 方法 1)以2011年10月-2012年10月入住各协作单位新生儿科并在儿保门诊随诊的285例扭转阶段早产儿为研究对象。根据家长意愿,分为早期干预组(n=125),观察对照组(n=160)。2)早期干预:早期干预组在婴儿入住新生儿科即给予超早期干预,采用对婴儿直接干预和指导家长进行干预相结合的方法。3)比较各组患儿扭转阶段不同GMs结果数量。 结果 早期干预组,正常扭转运动数量明显多于观察对照组,而单调性扭转运动、痉挛-同步性扭转运动数量均明显少于观察对照组。 结论 早期干预可降低早产儿单调性扭转运动、痉挛-同步性扭转运动发生率,提高正常扭转运动发生率。

Objective To investigate affect of early intervention on premature infants' general movements(GMs) during writhing period,and to guide early intervention clinically for preterm infants and improve neurodevelopmental outcome. Methods 1) The survey was carried among 285 premature infants during writhing period,who was in newborn department of pediatrics and followed up to our well baby clinic,from October 2011 to October 2012.According to the will of guardian,the cases were divided into early intervention group(n=125) and control group (n=160).2)Early intervention:the very early intervention,combining direct intervention and guiding parents for intervention,were given to early intervention group starting from newborn department of pediatrics.3) Numbers of different GMs during writhing period were compared in each group. Results The number of writhing movement in early intervention group was more than the control group,while the numbers of poor repertoire general movements (PR) and cramped-sychronised general movements (CS) were significantly fewer. Conclusion Very early intervention can reduce incidence rates of PR and CS,improve incidence rate of normal writhing movement.