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智能发育迟缓儿早期干预效果的研究
引用本文:郑蓉,池霞,洪琴,张敏,童梅玲,苏恺,潘丽朝,张玲,张蕾,俞倩. 智能发育迟缓儿早期干预效果的研究[J]. 中国妇幼保健, 2012, 27(23): 3604-3606
作者姓名:郑蓉  池霞  洪琴  张敏  童梅玲  苏恺  潘丽朝  张玲  张蕾  俞倩
作者单位:江苏省南京市妇幼保健院儿保科,210004
摘    要:目的:探索早期干预对智能发育迟缓儿智能发育的影响,为临床进行有效的防治提供依据。方法:35例参加智力干预指导的患儿为干预组,35例因多种因素未能参加智力干预指导的婴儿作为对照组。通过早期智力干预指导对干预组患儿进行干预,定期随访,以Gesell发育量表测定发育商(DQ),根据评估结果进一步指导干预。结果:3月龄时两组患儿适应性、精细动作、语言、个人-社交四个能区的发育商差异无统计学意义(P>0.05),12月龄时两组患儿四个能区的发育商差异有统计学意义(P<0.05),干预组高于对照组。两组患儿发育商(DQ)差值比较发现,干预组精细动作、适应性、语言、个人-社交四大能区高于对照组,差异有统计学意义(P<0.05或P<0.01)。结论:智能发育迟缓儿进行早期干预,可明显促进其认知水平,减少伤残发生。

关 键 词:智能发育迟缓  婴儿  早期干预  认知发育

Study on the effect of early intervention on infants with mental retardation
Affiliation:ZHENG Rong,CHI Xia,HONG Qin et al.Department of Child Health Care,Nanjing Maternal and Child Health Hospital,Nanjing 210004,Jiangsu,China
Abstract:Objective:To explore the effect of early intervention on intellectual development of infants with mental retardation,provide a basis for effective prevention and treatment.Methods:A total of 35 infants receiving intelligent intervention and guide were selected as intervention group,while 35 infants without intelligent intervention and guide because of various reasons were selected as control group.The infants in the two groups were followed up regularly,Gesell developmental scale was used to measure development quotient(DQ),then further intervention and guide were performed according to the evaluation results.Results:There was no statistically significant difference in DQs of adaptability,fine motor,language,and individual-social regions between the two groups at three months(P>0.05);while there was statistically significant difference in DQs of above-mentioned four regions between the two groups at 12 months,DQs in intervention group were higher than those in control group(P<0.05).The differentials of DQs of above-mentioned four regions in intervention group were statistically significantly higher than those in control group(P<0.05 or P<0.01).Conclusion:Conducting early intervention among the infants with mental retardation can improve the cognitive level and reduce the occurrence of disability.
Keywords:Mental retardation  Infant  Early intervention  Cognitive development
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