TRACING ANALYSIS OF EARLY REHABILITATION INTERVENTION OF NICU PATIENTS WITH HIGH RISK

Objective: In this study, we examined the effect of early rehabilitation on exercise and mental development in high-risk infants. Methods: twenty-three patients with high risks in neonatal intensive care unit (NICU) were treated with rehabilitation as the intervention group in The Children's Hospital of Soochow University, forty-six high risk infants without early rehabilitation treatment who were hospitalized during the same period were selected as the control group. The Intervention group was treated with early reha-bilitation twice a week (including visual, auditory, tactile stimulation, vestibular exercise stimulation, and the head and limbs exercise training) during hospitalization and received a one-year follow-up and early rehabilitation guidance after discharge. Control group was taken regular children care. Neuropsychological and behavioral evaluations in children were performed at 3, 6, and 12 months by Alberta Infant Motor Scale (AIMS) and Gesell infant development scale. Results: The total score and percentile of AIMS in the intervention group significantly increased from 3 months to 6 months, and form 6 months to 12 months respectively (P<0.01). There was no statistical difference in the exercise area (EA), adaptive behavior area (AA), speech act area (SA), and personal social behavior area (PA) of development quotient (DQ) at 3 months between intervention group and control group (P>0.05). However, exercise and adaptive behaviors of the DQ at 6 months in the intervention group were higher than that in the control group (P<0.01). At 12 months, four aspects (EA, AA, SA, PA) of the DQ in the intervention group were much higher than that in the control group (P<0.01). Conclusion: Early Rehabilitation Intervention in patients with high risk improved children's exercise quality, adaptive behaviors, personal social behaviors, the perception of cognitive ontology experience and the ability to adapt to the surrounding environment.