广东省佛山市顺德区255例早产儿早期干预的效果分析

目的探讨早期干预对早产儿智能及运动发育的影响。方法将255例早产儿随机分为干预组（130例）与未干预组（125例），同时选取120例正常儿为对照组。对干预组实施定期神经行为发育评估、指导性训练及包括运动疗法、药物疗法、物理电疗法、音乐疗法等在内的强化训练等干预，并定期体检及进行智能发育测试。结果①干预组智能发育指数及运动发育指数明显高于未干预组，差异有统计学意义（P〈0．01）。②干预组经过早期综合干预治疗后遗症明显少于未干预组。③干预组患儿在1、2岁时可达正常组水平，与正常组比较差异无统计学意义（P〉0．05）。结论早期干预可改善早产儿的神经运动发育状况，减少后遗症的发生。

Analysis of Shunde district,Guangdong province,Foshan infants 255 cases of early intervention

Objective ] To investigate the effect of early intervention on premature infants about intelligence and psychomotor development. Methods ] 255 premature infants were divided into two groups, intervention group and notintervention group; At the same time it set up 120 natural infants in the intervention group ,making periodical medical examination and normal control group .Early intervention were done by intelligence evaluation. Results ] ① Average scores of mental development index（MDI） and psychomotor development index （PDI） in intervention group were significantly higher than those in not-intervention group （P〈0.01）. ② The sequela of the premature infants in intervention group were significantly lower than those in not- intervention group. ③ Intervention group can catch up with normal control group when they were one or two year old.They had no significant difference（P〉0.05）. Conclusion ] The result showed that early intervention could promote intellective development of premature infant,improve quality of live and decrease social burden.