高危儿行为发育的早期干预治疗

【目的】　通过早期干预促进高危儿的行为发育。　【方法】　将 78例高危儿随机分为干预组、未干预组 ,并设正常新生儿对照组。仅对干预组患儿实施早期康复干预 ,定期随访 ,以《贝莉智能发育量表》进行智能发育评估 ;未干预组、对照组患儿只进行常规体格检查和育儿指导。 1岁时通过《Gesell发育诊断量表》对三组患儿进行智能发育的最终评估。　【结果】　 3、9月龄时干预组患儿智力发育指数及运动发育指数均高于未干预组 (P <0 .0 1) ,可达对照组水平 (P <0 .0 5 ) ;1岁时Gesell智能检查 ,干预组与未干预组比较除大运动能区不存在差异外 (P >0 .0 5 ) ,其它四大能区差异均存在非常显著性 (P <0 .0 1) ,与对照组比较五大能区差异均无显著性。　【结论】　早期干预可促进高危儿的行为发育 ,改善其预后。

Effect of early intervention on behavioral development of high-risk neonate

To study the effect of early intervention on behavioral development of high risk neonate. 78 high risk neonates were randomly devided into intervention group and non intervention group. 30 normal newborns were arranged in the contral group. Early rehabilitation was applied in the newborns in the intervention group. Nervous systemic examination and intelligence development were regularly studied by special doctor through Bayley Scales of Infant Development. Usual physical examination and education were applied in the non intervention group and the contral group. When they were one years old, the intelligence of infants were examined through Gesell Development Diagnosis Scale. When they were at the age of 3 months and 9 months,both their mental development index (MDI) and psychomotive development index (PDI) of the infants in the intervention group were closely to the contral group ( P >0.05),significantly higher than those of the non intervention group ( P <0.01). When they were 1 year old ,the large motive area of the infants in the intervention group was better than that in the non intervention group( P <0.01), the other four large intelligent area were significantly better than those in the non intervention group( P <0.01). There was no significance between the intervention group and the control group in the five large intelligent areas.[Conclusion] Early rehabilitation could promot the behavior development and prognosis of high risk neonates.