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目的:探讨早期干预对早产儿体格及神经行为发育的影响。方法:采用婴儿神经行为发育评估法对262例早产儿进行不同月龄阶段监测评估(3、6、9、12月),并随机分为干预组、未干预组和对照组(156例健康足月儿)。干预组接受常规体检,建立系统监测档案,每月随访,并早期干预,未干预组常规体检,健康指导。监测内容为:体格生长发育、智能发育指数(MDI)、运动发育指数(PDI)。在3月、6月、9月、12月时给予综合评价,用CDCC婴幼儿发育商量表进行评估。结果:早产儿3月时,体格发育、MDI、PDI明显低于足月儿组,6、9和12月时,干预组小儿体格生长指数、MDI及PDI均优于未干预组,差异有统计学意义(P<0.05)。12月时早产儿干预组体格发育、MDI及PDI,接近足月儿组。结论:对早产儿进行早期干预可促进其智力、神经运动及体格发育,降低伤残率,提高远期生存质量。
Objective: To investigate the effect of early intervention on physical and neurobehavioral development in premature infants. Methods: 262 cases of preterm infants were monitored and evaluated at different months of age (3-6, 9, 12 months) by using the method of neurobehavioral development assessment in infants and randomly divided into intervention group, untreated group and control group (156 healthy feet Month). Intervention group received routine physical examination, the establishment of system monitoring archives, monthly follow-up, and early intervention, no intervention group routine physical examination, health guidance. Monitoring content: physical growth and development, intelligent development index (MDI), sports development index (PDI). In March, June, September, December to give a comprehensive evaluation, with the CDCC infant and young child development scale assessment. Results: Physical development, MDI and PDI in preterm infants were significantly lower than those in term infants at 3 months. At 6, 9 and 12 months, physical growth index, MDI and PDI in intervention group were better than those in non-intervention group Significance (P <0.05). Premature babies in December intervention group physical development, MDI and PDI, close to full-term children. Conclusion: Early intervention in premature infants can promote their intelligence, nerve movement and physical development, reduce the disability rate and improve long-term quality of life.