早期干预对降低早产儿脑性瘫痪发生率的临床观察

目的 探讨早期干预对早产儿体格发育及智能发育的影响。方法72例早产儿随机分为干预组（36例）和对照组（36例），干预组从新生儿期起干预至12个月。2组早产儿均于3、6、9、12月时分别进行体格检查（身高、体重、头围），1岁时对2组早产儿进行Gesell发育量表测试。结果干预组6月、1岁时体格发育快于对照组（P〈0．01或P〈0．05），2组早产儿1岁时采用Gesell发育量表进行智能发育检查，结果干预组五部分内容评分高于对照组，差异非常显著（P〈0．01）。干预组无一例发生智力低下，对照组2例发生智力低下。结论给予早产儿早期干预可促进早产儿智能发育，降低脑性瘫痪发生率。

Clinic observation of reducing the incidence of cerebral palsy in premature infants through early intervention

Objective To explore the effects of early intervention on physical and intelligent development of premature infants.Methods 72 cases of premature infants were randomly divided into 2 group, with 36 cases in the intervention group and 36 cases in the control group. The early intervention began from the birth of the infants to 1 year old in the intervention group. At the age of 3,6,9 and 12 months, all the premature infants were examined in physical development including height, weight and head circumference. At the age of 1 year old, they were evaluated by Gesell developmental scale. Results At the age of 6 months and 1 year old, the physical developments were significantly higher in the intervention group than the control group (P<0.01 or P<0.05). At the age of 1 year old, they were examined in intelligent development by Gesell developmental scale. The results were that the scores of the five parts in the intervention group were much higher than those in the control group. There was a significant difference between the two groups (P<0.01). There were no mental retardation in the intervention group and 2 cases in the control group. Conclusions The early intervention of premature infants can promote the physical and intelligent development, and reduce the incidence of the cerebral palsy.