发育临界儿早期干预临床研究

目的：探讨早期干预对改善发育临界儿（DBC）预后的价值。方法：对纳入系统保健的婴儿5 632例进行52项神经行为发育筛查,共筛查出192例DBC,将其分为干预组（医院-家庭干预训练模式）和对照组（医院指导家庭训练）。用北京GESELL发育量表评估干预前后神经行为和GESELL发育DQ值。结果：训练前两组GESELL大运动DQ值分布无显著性差异（P〉0.05）;训练后两组GESELL大运动DQ值分布有显著性差异（P〈0.01）,干预组总有效率为87.5%,对照组为57.3%。结论：通过早期干预可明显提高DBC运动功能,改善其预后。

Clinical Study of Early Intervention in Developmental Borderline Children

Objective: To explore the effect of early intervention on improve prognosis in development borderline children(DBC).Method:192 DBC were divided into two groups:hospital-family training group(group A)and family training group(group B).Both groups were evaluated by neurobehavioral checking and GESELL developmental scalen after 3 months training.Results:The GESELL DQ of large movement had no significant difference between both group before training.After 3 months intervention,the intervention group score of DQ was higher than that in control group significantly.The effective rate of group A was 87.5%,group B 57.3%.Conclusion:Early intervention is beneficial to improve movement function and prognosis of DBC.