高危儿早期干预的效果分析

目的探讨对高危儿进行早期干预和定期评估,通过发育量表来评价早期干预的治疗效果。方法选择2010年1月至2011年12月期间我院新生儿科的100例高危儿50例(男23例,女27例)为干预组,设立同期的高危儿50例(男21例,女29例)为对照组,通过量表评估结果进行分析,并对两组患儿的高危因素:孕妇年龄、出生体质量、分娩方式、胎位、妊娠并发症进行回顾性分析。结果干预组神经心理发育商和运动发育商均显著高于对照组;神经系统后遗症发生率明显低于对照组;并对孕妇年龄、出生体质量、分娩方式、胎位、妊娠并发症分析发现对照组、治疗组无统计学意义。结论早期干预对高危儿智能发育有明显促进作用,并能防治神经系统后遗症;以医院、康复室、家庭为联合的干预模式,能客观、准确评价治疗效果。

Analysis of the Effect of Early Intervention for High-risk Infants

Objective To explore the early intervention and regular assessment of high risk infants, the development scale to evaluate the therapeutic effect of early intervention. Methods From 2010 January -2011 year in December 100 cases of high risk infants newborn Department of Pediatrics in our hospital 50 cases （ male 23 eases, female 27 eases） as intervention group, set up 50 over the same period in high-risk infants （ male 21 cases, female 29 cases ） as the control group, the results of the evaluation are analyzed through the scale, risk factors and the the two groups of children： maternal age, birth weight, mode of delivery, fetal position, pregnancy complications were retrospectively analyzed. Results The intervention group development quotient and motor developmental quotient was significantly higher than that of the control group; the sequelae of nervous system was significantly lower than the control group; and the maternal age, birth weight, mode of delivery, fetal position, pregnancy complications analysis was found in the control group, the treatment group had no statistical significance. Conclusion Early intervention had significant promoting effect on the intelligence development of high-risk infants, and can prevent the sequelae of nervous system; hospital, rehabilitation room, family intervention model combined, objective, accurate evaluation of therapeutic effects.