【摘要】：目的研究2個(gè)月療程的睡姿矯正法對(duì)8月齡前嬰兒姿勢(shì)性斜頭轉(zhuǎn)歸的影響。方法選取2015年1月至2016年6月就診的姿勢(shì)性斜頭患兒73例為研究對(duì)象,按家長意愿分成治療組(n=46)和對(duì)照組(n=27)。治療組采用睡姿矯正法矯正斜頭;對(duì)照組予安曲嬰兒正姿床墊矯正斜頭。測(cè)量并計(jì)算兩組患兒治療前后的經(jīng)顱斜徑和經(jīng)顱斜徑差(CVA),根據(jù)CVA對(duì)治療前后兩組患兒斜頭病情程度進(jìn)行比較;采用Gesell兒童發(fā)育量表對(duì)兩組患兒治療前后4大能區(qū)發(fā)育商(DQ)進(jìn)行評(píng)估。結(jié)果治療前兩組斜徑A、斜徑B、CVA,以及動(dòng)作能、應(yīng)物能、語言能、應(yīng)人能DQ值比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05);治療2個(gè)月后,治療組斜徑B長于對(duì)照組(P0.05),CVA小于對(duì)照組(P0.01),各能區(qū)DQ值與對(duì)照組比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。兩組治療后斜徑A、斜徑B、CVA、運(yùn)動(dòng)能DQ值、應(yīng)物能DQ值,以及治療組治療后應(yīng)人能DQ值均較治療前有所改善(P0.01)。兩組間斜頭病情程度比較在治療前后差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論應(yīng)用睡姿矯正法治療嬰兒姿勢(shì)性斜頭,較英國進(jìn)口的安曲嬰兒正姿床墊療效好,且更簡便、經(jīng)濟(jì),值得臨床推廣。
[Abstract]:Objective to study the effect of 2-month sleep posture correction on the outcome of postural oblique head in infants before 8 months of age. Methods from January 2015 to June 2016, 73 children with postural oblique head were selected and divided into two groups according to their parents' wishes: treatment group (n = 46) and control group (n = 27). In the treatment group, the oblique head was corrected by sleeping position correction method, and in the control group, the oblique head was corrected by the Anqu infant positive posture mattress. Transcranial oblique diameter (CVA),) and transcranial oblique diameter difference (CVA),) were measured and calculated before and after treatment. According to CVA, the severity of oblique head was compared between the two groups. The Gesell child development scale was used to evaluate the development quotient (DQ) of 4 major energy regions before and after treatment. Results before treatment, there were no significant differences between the two groups in the DQ values of oblique diameter A, oblique diameter BV CVA, motor ability, language ability, speech ability and response ability (P0.05), but after 2 months of treatment, there were no significant differences between the two groups (P0.05). The oblique diameter B of the treatment group was longer than that of the control group (P0.05) and the CVA of the treatment group was lower than that of the control group (P0.01), and the DQ value of each energy region had no statistical significance compared with that of the control group (P0.05). After treatment, the oblique diameter (A), oblique diameter (BV) CVA, motor energy (DQ), reactive energy (DQ), and human response (DQ) of treatment group were improved compared with those before treatment (P0.01). There was no significant difference between the two groups before and after treatment (P0.05). Conclusion the application of sleeping position correction in the treatment of infant posture oblique head is more effective than that of the imported Atrix infant orthostatic mattress. It is more simple, economical and worthy of clinical promotion.
【作者單位】： 第三軍醫(yī)大學(xué)新橋醫(yī)院兒科;
【基金】：第三軍醫(yī)大學(xué)第二附屬醫(yī)院臨床科研項(xiàng)目一般項(xiàng)目(2014YLC30)
【分類號(hào)】：R174
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本文編號(hào)：2181647