早期综合干预对发育临界儿神经心理发育的影响

目的：探究早期综合干预对发育临界儿神经心理发育的影响。方法：筛查出的总发育商为70～85分的0～6岁发育临界儿100例随机数字表法分为干预组和对照组,每组50例。对照组接受传统以体检为主的保健的基础上的常规早期教育指导,干预组在常规早期教育指导基础上,还进行了早期综合干预,采用0～6岁小儿神经心理发育检查表对两组患者分别在干预前和干预6个月后进行测查,比较两组发育临界儿干预效果。结果：干预6个月后干预组的发育商数、大运动、精细运动、适应能力、语言和社交行为的得分较对照组均有明显提高,差异有统计学意义（P〈0.01）;干预组总有效率达92%,明显高于对照组的总有效率60%,比较差异有统计学意义（χ^2=14.035,P〈0.01）。结论：早期综合干预能提高发育临界儿的神经心理发育水平。

Effects of Early Systematical Intervention on Neuropsychological Development of Developmental Borderline Children

Objective： To explore effects of early systematical intervention on neuropsychological development of developmental borderline children （DBC）.Method： 100 DBC aged from 0 to 6, whose developmental quotient（DQ） were from 70 to 85, were randomly grouped. There were 50 children in intervention group and control group respectively. Children from control group accepted only routine early education guidance while children from intervention group were educated by early systematical intervention training besides routine early education guidance. Their DQ were assessed after 6 months and were compared with DQ before intervention to evaluate educational training results.Result： The scores of DQ, gross motor, fine motor, adaptation, language and social behavior of children from intervention group were higher than those of children from control group and the difference was significant （P〈0.01）. The interventional effective rate of the intervention group was 92%, while that of the control group was 60%, and the difference was significant （P〈0.01）. Conclusion：Early systematical intervention can improve neuropsychological development of developmental borderline children （DBC）.