本文選題：健脾提督推拿法 + 早產(chǎn)低體重兒��； 參考：《云南中醫(yī)學(xué)院》2017年碩士論文

【摘要】：目的觀察健脾提督推拿法對早產(chǎn)低體重兒神經(jīng)行為發(fā)育的影響,并與西醫(yī)常規(guī)處理方法相比較,旨在探索一種安全、有效,符合循證要求且能促進(jìn)早產(chǎn)低體重兒神經(jīng)行為發(fā)育的方法。方法將符合納入標(biāo)準(zhǔn)的64例早產(chǎn)低體重兒,采用“數(shù)字表法”隨機(jī)的分為試驗(yàn)組(n=32)和對照組(n=32),其中每組脫落2例,實(shí)際納入60例,每組30例。對照組采用西醫(yī)常規(guī)處理方法,試驗(yàn)組在對照組的基礎(chǔ)上加用健脾提督推拿法,兩組相同時間點(diǎn)進(jìn)行評估,并記錄結(jié)果,即在入組時、入組3月后、入組6月后分別采用《0~6歲小兒神經(jīng)心理發(fā)育檢查表》(以下簡稱《兒心量表》進(jìn)行評估。主要評估身長,體重,大運(yùn)動,精細(xì)運(yùn)動等五大能區(qū)發(fā)育商及綜合發(fā)育商評分值,建立數(shù)據(jù)文件,采用SPSS21.0軟件進(jìn)行統(tǒng)計分析。結(jié)果(1)入組前:兩組患兒性別、胎齡、出生體重和身長、就診年齡、糾正月齡、就診時體重和身長、《兒心量表》五大能區(qū)發(fā)育商及綜合發(fā)育商評分值,差異無統(tǒng)計學(xué)意義(P0.05),具有可比性。(2)入組3月后:試驗(yàn)組體重的總體均數(shù)高于對照組,差異有統(tǒng)計學(xué)意義(P0.05),兩組身長差異無統(tǒng)計學(xué)意義(P0.05);試驗(yàn)組神經(jīng)行為綜合發(fā)育商的總體均數(shù)高于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。其中:試驗(yàn)組大運(yùn)動及精細(xì)運(yùn)動的發(fā)育商的總體均數(shù)高于對照組,差異有統(tǒng)計學(xué)意義(P0.05),而社交行為、適應(yīng)能力、語言的發(fā)育商差異無統(tǒng)計學(xué)意義(P0.05)。(3)入組6月后:試驗(yàn)組體重與身長的總體均數(shù)均高于對照組,差異有統(tǒng)計學(xué)意義(P0.05);試驗(yàn)組神經(jīng)行為綜合發(fā)育商的總體均數(shù)高于對照組,差異有統(tǒng)計學(xué)意義(P0.05),試驗(yàn)組大運(yùn)動、精細(xì)運(yùn)動、社交行為、適應(yīng)能力和語言五大能區(qū)發(fā)育商較對照組有明顯差異,差異統(tǒng)計學(xué)意義(P0.01)。結(jié)論健脾提督推拿法可以促進(jìn)早產(chǎn)低體重兒追趕生長,促進(jìn)神經(jīng)行為發(fā)育,尤其是體重及大運(yùn)動和精細(xì)運(yùn)動的發(fā)育方面更為明顯,而身長、語言、社交行為以及適應(yīng)能力的發(fā)育則需要較長時間。使用健脾提督推拿法的時間越長,效果越明顯,健脾提督推拿法可以作為早產(chǎn)低體重兒的有效干預(yù)方案,值得臨床進(jìn)一步探索。
[Abstract]:Objective to observe the effect of tonifying spleen on neurobehavioral development of premature infants with low birth weight and to explore a safe and effective method compared with western medicine. Methods that meet the evidence-based requirements and promote neurobehavioral development in preterm low birth weight infants. Methods 64 premature infants with low birth weight were randomly divided into the experimental group (n = 32) and the control group (n = 30). The control group was treated with routine western medicine, and the experimental group was treated with the method of strengthening the spleen and raising the governor with massage on the basis of the control group. The two groups were evaluated at the same time point, and the results were recorded, that is, at the time of entering the group, 3 months after entering the group, After 6 months, the neuropsychological development of children < 0 ~ 6 years old was evaluated respectively (hereinafter referred to as the "Pediatric Heart scale"). This paper mainly evaluates the scores of development quotient and comprehensive development quotient in five energy regions, such as body length, body weight, big movement and fine movement, establishes the data file, and makes statistical analysis by SPSS21.0 software. Results 1) before entering the group: gender, gestational age, birth weight and body length, age of visit, corrected month age, weight and length at the time of visit, and scores of development quotient and comprehensive development quotient in five major energy regions of the two groups. The difference was not statistically significant (P 0.05), but comparable. After 3 months, the total mean body weight of the trial group was higher than that of the control group. The difference was statistically significant (P 0.05), and there was no significant difference in body length between the two groups (P 0.05). The total mean of neurobehavioral integrative development quotient in the test group was higher than that in the control group, and the difference was statistically significant (P 0.05). Among them: the total average of development quotient of large motor and fine motor in the experimental group was higher than that in the control group, the difference was statistically significant (P 0.05), while the social behavior and adaptability, There was no significant difference in language development quotient (P 0.05) after 6 months: the total mean of body weight and body length in the experimental group was higher than that in the control group, and the difference was statistically significant (P 0.05), and the total mean of the neurobehavioral integrative development quotient in the experimental group was higher than that in the control group. There was significant difference in the development quotient of the five energy regions in the experimental group (P 0.05), and the difference was statistically significant compared with that in the control group (P 0.01). Conclusion the method of invigorating spleen and raising the blood vessel can promote the growth of premature infants with low birth weight and promote the development of neurobehavioral, especially in the development of body weight, large movement and fine movement, but the body length and language are more obvious. Social behavior and adaptive development take longer. The longer the time is, the more obvious the effect is. It can be used as an effective intervention scheme for premature low birth weight infants, which is worthy of further clinical exploration.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R244.1

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