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【目的】探讨神经行为发育监测和早期教育及干预在儿童保健系统管理中的重要作用,为建立儿保更新模式提供依据。【方法】分别将同期出生的46名正常新生儿和46名高危儿随机分为新模式组和对照组,新模式组的正常儿和高危儿除常规模式儿保外,定期进行神经行为发育监测和早期教育及干预。对照组只做常规模式儿保。各组均在3、6月和1岁时用Gesell婴幼儿发育量表进行发育商(developmental quotient,DQ)的测评。【结果】1)3月、6月和1岁时,高危新模式组5个能区的DQ逐步提高,到1岁时明显高于高危对照组,差异有统计学意义(P<0.01);并已达到正常对照组水平。2)生后3月时,正常新模式组的DQ与正常对照组差异无统计学意义(P>0.05);到6月和1岁,正常新模式组5个能区的DQ明显高于正常对照组,差异有统计学意义(P<0.01)。【结论】将神经行为发育监测和早期教育及干预纳入常规儿保中的更新模式,可以促进婴幼儿智能发育,利于儿童早期发展。
【Objective】 To explore the important role of neurobehavioral development monitoring and early education and intervention in the management of children’s health care system and to provide the basis for establishing the pattern of renewal of child-care insurance. 【Methods】 46 normal newborns and 46 high risk infants born at the same period were randomly divided into a new model group and a control group. Normal and high-risk infants in the new model group were monitored regularly for neurobehavioral development And early education and intervention. Control group only regular mode child care. All groups were evaluated for developmental quotient (DQ) using the Gesell Infant Development Scale at March, June and 1 year of age. 【Results】 1) At 3 months, 6 months and 1 year old, the DQ of 5 high energy new model groups gradually increased to 1 year old, which was significantly higher than that of high risk control group (P <0.01). And has reached the level of the normal control group. 2) There was no significant difference in DQ between the normal new model group and the normal control group at 3 months after birth (P> 0.05); at 6 months and 1 year old, the DQ of the 5 new energy groups in the normal new model group was significantly higher than that of the normal The control group, the difference was statistically significant (P <0.01). 【Conclusion】 The update of neurobehavioral development monitoring and early education and interventions into routine child care can promote the intelligent development of infants and young children and benefit the early development of children.