发育迟缓儿童早期综合干预的重要性

目的 探讨发育迟缓儿童早期综合干预的重要性。 方法 到本中心体检发育迟缓的3月龄婴儿,根据家长自愿原则分为两组,干预组:共71例,其中早产婴儿36例为干预Ⅰ组,足月产35例为干预Ⅱ组,早期综合应用视、听刺激,婴儿操、抚触、游泳、运动干预训练、喂养指导,分别在干预前、干预后1个月、3个月、5个月运用Gesell量表进行评估。未接受干预训练仅常规保健的作为对照组:共62例,其中早产婴儿30例为对照Ⅰ组,足月产32例为对照Ⅱ组。结果 在干预后1、3、5个月评估时,干预Ⅰ组与对照Ⅰ组相比,身高分别增长0.6、0.9和1.3 cm(P<0.05);体重分别增长0.62、0.70、0.76 kg(P<0.05),DQ平均增长5、9和12(P<0.05)。干预Ⅱ组与对照Ⅱ组相比,身高分别增长0.5、0.9、1.5 cm(P<0.05),体重分别增长0.59、0.74、0.80 kg(P<0.05);DQ平均增长4、7、10(P<0.05)。 结论早期综合干预可促进发育迟缓儿童体格、运动、行为心理发展。

Importance of stunting's early childhood intervention

Objective To investigate the importance of stunting's early childhood intervention. Methods According to 3-month-old babies detected parents of voluntary principles were divided into two groups,the intervention group:a total of 71 cases,including 36 cases of premature babies in intervention group 1,full-term 35 cases in the intervention group 2,using of early integrated application,listen to stimulate,baby gymnastics,massage,swimming,sports intervention training,feeding guidance.Gesell scale assessments were carried before the intervention,after the intervention of a month,three months,five months respectively.As a control group who did not receive intervention training (a total of 62 cases,including 30 cases of premature babies in control group Ⅰ,32 full-term patients in control group Ⅱ). Results Assessment after the intervention of 1 month,3 months,5 months ,intervention Ⅰ group compared with the control group Ⅰ,height increased by 0.6,0.9 and 1.3 cm,respectively (P<0.05);Body weight,an increase of 0.62 0.70 and 0.76 kg respectively (P<0.05),DQ average growth 5,9 and 12 respectively (P<0.05).Intervention group Ⅱ compared with the control group Ⅱ,height increased by 0.5,0.9,1.5 cm (P<0.05),weight growth 0.59,0.74,0.80 kg (P<0.05),respectively;DQ average growth 4,7,10 (P<0.05).Conclusion The integrated early intervention can promote stunting children's physical,movement,behavior and psychological development.