临床及家庭早期干预对早产低体重儿智能发育的影响

目的观察系统的临床及家庭早期干预对早产合并低体重儿智能发育的影响,为完善围产期保健体系提供科学依据。方法方便性抽样选取2009年5月至2011年12月在我院出生的早产低体重儿60例,随机分为早产干预组和早产对照组,每组30例,同时选取同期正常新生儿30例作为正常对照组。早产干预组新生儿出生后在医院内即进行系统干预,出院后继续进行至12个月;早产对照组和正常对照组给予早产儿及新生儿常规护理,母婴同室,出院后行常规家庭化护理。三组研究对象均在3、6、12个月龄采用国内标准化Gesell婴幼儿发育量表进行智能发育测量。结果三组小儿3、6、12个月龄时,早产干预组Gesell智能各能区评分均明显优于早产对照组,差异有统计学意义(P<0.05);而与正常对照组比较,差异无统计学意义(P>0.05)。结论系统化临床及家庭早期干预可以有效促进早产低体重儿的智能发育。

Impact of Early Interventions in Hospital and Family on Intellectual Development of Low-weight Infants

Objective To observe the impact of clinical and family early interventions on the intellectual development of premature infants with low-weight, and to provide a scientific basis to improve perinatal care system~ Methods From May 2009 to December 2011,60 premature infants with low-weight in the hospital were enrolled in the study by convenienc preterm intervention group（n= 30） and preterm ~ The premature infants were randomly divided oup（n= 30）. Then 30 normal neonates in the same period were selected as normal control group（n=30）. For preterm intervention group, the systematic intervention was undertaken for the premature infants from birth to discharge for 12 months. For preterm and normal control groups, the routine nursing, rooming-in and general feeding guidance after discharge were provided. All the groups were measured on the intellectual development by domestic standard Gesell method at 3,6,12 month. The intellectual development was measured on the subjects at the age of 3,6 and 12 months using the domestic standardization Gesell Infant Development Scale. Results At the age of 3,6 and 12 months, the scores of intelligent regions of preterm intervention group were significantly superior to those of preterm control group（P〈0.05）. However,there was no significant difference between preterm intervention group and normal control group（P〉0.05）. Conclusion Systematic clinical and family early intervention can effectively promote the intelligent development and improve the quality of life of preterm infants with low-weight.