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| Clinical Effect of Ultra-early Intervention on Nervous System Development in High-risk Infants |
| ZENG Yuan, SONG Huanhuan, LAI Qing, LIU Qiyun, MENG Lijuan |
| Pingxiang Maternity and Child Care, Jiangxi Province, Pingxiang 337000, China |
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Abstract Objective: To explore the clinical effect of comprehensive ultra-early intervention technology on nervous system development of high-risk infants. Method: A total of 90 newborns diagnosed as high-risk infants in the Department of Newborn, Pingxiang Maternity and Child Care from January to June 2021 were selected and randomly divided into the control group, intervention 1 group and intervention 2 group, with 30 cases in each group. The control group was given routine nursing intervention, the intervention 1 group was given audio-visual and tactile training on the basis of the control group, and the intervention 2 group was given comprehensive ultra-early intervention such as oral function, motor perception function, cardiopulmonary function and kangaroo nursing on the basis of the intervention 1 group. The neonatal behavioral neurological assessment (NBNA) scores, the quality evaluation of general movements (GMs) and the total motor developmental quotient (TMQ) of Peabody developmental motor scales-2 were recorded and compared among the three groups. The adverse reactions and events during the implementation of ultra-early intervention technology were observed and counted, and the safety of its clinical treatment was explored. Result: Comparison of NBNA scores at 28 days of age, abnormal rates of GMs at 3 months of age, TMQ at 8 and 12 months of age among the three groups, the differences were statistically significant (P<0.05), and the NBNA scores and TMQ in the intervention 2 group were significantly better than those in the other two groups, and the abnormal rate of GMs in the intervention 2 group was significantly lower than that in the control group (P<0.05). During the ultra-early intervention, there was one allergic reaction in the control group and one in the intervention 1 group, and no adverse events occurred. Conclusion: Comprehensive ultra-early intervention technology can more effectively promote the development of nervous system in high-risk infants, and it has high safety for clinical use.
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Received: 31 August 2022
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