刘琦赟 瞿运萍 马丽 袁艳玲 李夙 曾玉萍 龙博文

【摘要】 目的：探究早期干預训练对病理性黄疸患儿精细动作发育水平的影响，为临床研究提供一定的资料。方法：选取2014年1月-2016年6月本院收治的精细动作发育迟缓患儿200例。按照随机数字表法将其分为对照组和观察组，各100例。观察组进行运动功能训练和精细动作训练，对照组行常规临床护理干预。比较两组精细动作发育评分及护理满意度。结果：治疗前，两组精细动作发育评分比较差异无统计学意义（P>0.05）；治疗3、6个月后，观察组精细动作发育评分均高于对照组，比较差异均有统计学意义（P<0.05）；观察组护理满意度为86.00%，显著高于对照组的62.00%，比较差异有统计学意义（字2=9.09，P=0.00）。结论：对新生儿病理性黄疸患儿进行早期科学的干预，可有效促进其精细动作的发育。

【关键词】 早期干预； 新生儿病理性黄疸； 精细动作

Clinical Study of Early Intervention Promoting Fine Motor Development in Children with Pathological Jaundice/LIU Qiyun，QU Yunping，MA Li，et al.//Medical Innovation of China，2018，15（17）：-140

【Abstract】 Objective：To explore the effect of early intervention training on fine motor development in children with pathological jaundice，and to provide some data for clinical study.Method：A total of 200 children with fine motor retardation from January 2014 to June 2016 in our hospital were selected.According to the random number table method，they were divided into control group and observation group，100 cases in each group.The observation group received motor function training and fine motor training，while control group received routine clinical nursing intervention.The scores of fine motor development and nursing satisfaction between two groups were compared.Result：Before treatment，the scores of fine motor development in two groups were compared，the differences was not statistically significant（P>0.05）.After 3 and 6 months of treatment，the scores of fine motor development in observation group were higher than those of control group，the differences were statistically significant（P<0.05）.The nursing satisfaction of observation group was 86.00%，which was significantly higher than 62.00% of control group，the difference was statistically significant（字2=9.09，P=0.00）.Conclusion：Early scientific intervention for children with pathological jaundice can effectively promote their fine motor development.

【Key words】 Early intervention； Pathological jaundice of newborn； Fine movement

First-authors address：Pingxiang Maternal and Child Health Hospital，Pingxiang 337000，China

doi：10.3969/j.issn.1674-4985.2018.17.036

新生儿在早期容易出现黄疸，在临床中有生理性和病理性两种，当新生儿血总胆红素超过其同日龄的平均值时，即为病理性黄疸。新生儿病理性黄疸是临床中一种常见的儿科疾病，病情比较严重的患儿可能会出现不同程度的神经系统后遗症，威胁新生儿生命安全[1-3]。临床上也有较多的报道显示，新生儿病理性黄疸会对新生儿的神经系统造成损害，胆红素病理性增高对新生儿神经的毒性作用可分为可逆、治疗后的可逆、不可逆三个阶段[4-6]，前两个阶段患儿神经细胞的损伤是可逆的，属于暂时神经毒性，可有神经生理或行为的改变，表现症状相对轻微，可表现为四肢肌张力增高，原始反射的延迟表达或者原始反射消退时间减慢[7-10]，特别是新生儿的握持反射，其消退时间明显较晚[11]，因此，在对新生儿病理性黄疸患儿进行随访时应注意其精细动作发育的监测，并对其进行一定干预。本……