早期综合干预对早产低体重儿体格发育和早期发展影响的探讨

【目的】 探讨早期综合干预对早产低体重儿体格发育和早期发展的影响。 【方法】 来自湖北省妇幼保健院儿童保健科满月体检胎龄小于37周且体重<2 500 g的婴儿,根据家长自愿原则分成干预(84例)和对照(75例)两组。干预组婴儿进行视、听刺激、按摩及运动干预训练、喂养指导。分别在满3、6、9、12个月时两组进行身高体重测量及早期发展水平测试。 【结果】 在满3、6、9、12个月时,干预组与对照组相比,体重分别增长0.60、0.69、0.74 kg和0.73 kg(P<0.05),身高分别增长0.7、0.9、1.2 cm和1.5 cm(P<0.05),MDI提高值分别为3.51、4.05、5.21、6.78(P<0.05),PDI提高值分别为2.29、3.85、4.16、6.36(P<0.05)。 【结论】 早期综合干预可以促进早产低体重儿的体格发育、智力和运动指数的发展,从而降低其脑性瘫痪的发生率。

Study on early synthetic intervention on physical development and early mental development and behavioral development of pre-mature and low-birth weight infant.

【Objective】 To Evaluate effectiveness of early synthetic intervention on physical development and early mental development and behavioral development of premature and low-birth weight infant.【Methods】 All infants of study coming from child health care clinic whose gestational age were under 37 weeks and birth weight under 2 500 grams were classified into 2 groups according to parents’s voluntary: early synthetic intervention group(84 cases) and control group(75 cases).The infants of study groups were conducted watching and hearing,massage and movement intervention and feeding direction.The weights,heights,MDI and PDI were measured or tested when the infants of the two groups were 3,6,9,12 months age.【Results】 Contrasting to the control group,the weights of the early synthetic intervention group were increased respectively 0.60,0.69,0.74,0.73 kg(P<0.05)and the heights were increased respectively 0.7,0.9,1.2,1.5 cm(P<0.05)and MDI were increased respectively 3.51,4.05,5.21,6.78 scores(P<0.05)and PDI were increased respectively 2.29,3.85,4.16,6.36 scores(P<0.05)when 3,6,9,12 months age.【Conclusion】 Early synthetic interventions would promote physical development and mental development and behavioral development of premature and low-birth weight infants,and would reduce incidence rate of cerebral palsy of premeture and low-birth weight infants.