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目的在社区儿童保健工作中,通过智能发育监测,早期发现儿童智能发育问题、及早转诊、及早干预,降低儿童智力残疾的发生及减轻智力残疾程度,为今后的智能发育监测工作提供一些经验和借鉴。方法对象及监测时间:在本地段保健的所有0～3岁以下的儿童(包括在本地段居住的本市及外埠儿童)。监测时间:2011年9月1日至2012年8月31日。筛查方法:筛查方法采用经标准化的儿童发育筛查方法。北京市儿童保健现用儿童丹佛发育筛查法(DDST))。结果在智力筛查中发现,早期的智力筛查结果不正常,及早转诊康复治疗对儿童的智力恢复有很大作用。结论建立完善的高危儿转诊制度,使该科的高危儿管理工作做到:高危儿童管理无遗漏,做到了早发现、早诊断、早干预,使智能落后儿童的智力潜能得到充分地发挥。
OBJECTIVE To provide early warning and early referral for children’s mental retardation by means of intelligent developmental monitoring in community health care for children, to reduce the occurrence of mental retardation and reduce the level of mental retardation in children, and to provide some experiences for the future development of intelligent development monitoring. Learn from Method and monitoring time: all children under the age of 0 to 3 years old (including local and overseas children living in the local area) who have health care in this section. Monitoring time: September 1, 2011 to August 31, 2012. Screening method: The screening method uses a standardized screening method for child development. Beijing Children’s Health Child Care Denver Development Screening Act (DDST). Results in the intelligence screening found that early intelligence screening results are not normal, early referral rehabilitation of children with mental rehabilitation have a significant role. Conclusion The establishment of a perfect referral system for high-risk infants makes the management of high-risk infants in this department: There are no omissions in the management of high-risk children, and early detection, early diagnosis and early intervention are well established so that the intellectual potential of children with intellectual disabilities can be fully utilized.