早期干预对高危新生儿智能发育的影响

目的探讨早期干预对高危儿智能发育的效果和模式。方法选择1999年1月至2003年1月我院高危新生儿30例(男18例,女12例)为干预组,以家庭为中心的干预模式进行早期干预,同时设立同期的高危儿31例(男19例,女12例)为对照组,两组患儿的围产期情况和环境因素相似。结果干预组智能发育指数(MD I)和运动发育指数(PD I)均显著高于对照组(P<0.001,P<0.005);神经系统后遗症发生率明显低于对照组。结论早期干预对高危儿智能发育有明显促进作用,并能防治神经系统后遗症。以家庭为中心的干预模式简单易行,并易被家长接受。

Effect and mode of early intervention on high-risk neonate development

Aim To investigate the effect and mode of early intervention on high-risk neonate.Methods 30 high-risk neonates in intervention group(male 18 cases,female 12 cases)and 31 high-risk neonate in control group(male 19 cases,female 12 cases) were studied,all of whom were in our hospital between Jan.1999 and Jan.2003.High-risk neonates in intervention group were early trained and educated after birth in their homes.Perinatal condition and enviromental factor were of no significant difference between the two high-risk neonate groups.Results At age of 1 and 2 years average scores of mentar developmental Index(MDI) and psyoho-moter developmental Index(PDI) in intervention group were higher than those in control group(P<0.001,P<0.005).The morbidity rate of nervous system sequelae in intervention group was significantly lower than that in control group.Conclusion The result showed that early intervention could promote intellectual development of high-risk neonate,and be of benefit to prevention of nervous system sequelae.The intervention mode on the basis of the family is easy to apply and to be accepted by parents.