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目的研究早期干预对伴有贫血的高危患儿智能发育的影响。方法东丽区妇女儿童保健中心筛查的高危患儿按自愿原则于6月龄进行血常规和铁蛋白检测,分为贫血组和非贫血组,选择同期正常婴儿为对照组,贫血组在治疗贫血时与非贫血组一同采取早期干预,对照组则按父母意愿育儿。对3组婴儿定期进行智能发育测定。结果非贫血组18个月时发育指数优于对照组,差异有统计学意义(P<0.05)。贫血组6个月时发育指数低于对照组,差异有统计学意义(P<0.05),经干预后18个月时比较,差异无统计学意义(P>0.05)。经干预后贫血组发育指数低于非贫血组,差异有统计学意义(P<0.05)。结论早期干预对伴有贫血的高危儿患智能发育有不同程度的促进作用。
Objective To investigate the effect of early intervention on the intellectual development of high-risk children with anemia. Methods High risk infants who were screened by Dongli District Women and Children’s Health Center were tested for blood and ferritin at 6 months according to the voluntary principle. The patients were divided into anemia group and non-anemia group. The normal infants in the same period were selected as the control group. Anemia with non-anemia group to take early intervention, while the control group according to the wishes of parents parental. Three groups of infants were regularly tested for intelligence development. Results The developmental index at 18 months in non-anemia group was better than that in control group (P <0.05). The developmental index of anemia group was lower than that of control group at 6 months (P <0.05), and there was no significant difference at 18 months after intervention (P> 0.05). The developmental index of anemia group after intervention was lower than that of non-anemia group, the difference was statistically significant (P <0.05). Conclusions Early intervention can promote the intelligence development of high risk children with anemia to some extent.