论文部分内容阅读
目的规范对社区早产儿的神经行为发育监测及干预,以改善其预后。方法采用病例-对照研究,将在荔湾区社区新生儿访视中发现的早产儿382例,分为干预组158例和对照组224例。然后由社区儿童保健医生对干预组的早产儿进行干预指导,对照组只接受常规的社区高危儿管理服务。结果干预组在发育商和大运动、精细运动、适应能力、语言和社交行为5大能区得分均高于对照组,差异均有统计学意义(P<0.05),体格发育情况组间比较差异无统计学意义(P>0.05)。结论通过对社区儿童保健医生进行规范的小儿神经康复专科培训,在社区早产儿开展神经行为发育监测及干预,对早产儿的社区管理起到至关重要作用,同时在早产儿的社区管理结案方法中,应考虑其智能发育水平。
Objective To standardize the monitoring and intervention of neurobehavioral development in community premature infants to improve their prognosis. Methods A case-control study was conducted in 382 preterm infants who were found in neonatal visits in Liwan District, divided into intervention group (n = 158) and control group (n = 224). Interventions were then given to intervention group preterm infants by community health pediatricians who received only routine community high risk management services. Results In the intervention group, scores of 5 major energy regions such as developmental traders and grand motor, fine motor, adaptability, language and social behavior were all higher than those of the control group (P <0.05), and physical development was significantly different between groups No statistical significance (P> 0.05). Conclusion Through the special pediatric neuro-rehabilitation training for community-based health care practitioners, monitoring and intervention of neurobehavioral development in preterm infants in the community plays a crucial role in community management of premature infants. At the same time, In, should consider its level of intellectual development.