【摘要】 目的:探讨早期综合干预对早产儿智力、运动发育的影响和脑性瘫痪的预防作用。方法:将100例早产儿分为干预组54例和常规育儿组46例,常规育儿组采用常规喂养方法,干预组联合家长采取早期综合干预;分别于6个月、1岁时比较两组早产儿体格发育指标;于3个月、6个月、1岁、2岁比较两组智力发育指数(MDI)和运动发育指数(PDI);于2岁时比较两组智能发育情况。结果:干预组脑瘫发生率为1.9%,显著低于常规育儿组(8.7%)(χ2=4.695,P<0.05);6个月和1岁时,干预组早产儿各项体格发育指标显著高于常规育儿组(P<0.05);干预组早产儿在3个月、6个月、1岁、2岁时MDI、PDI评分显著高于常规育儿组(P<0.05);2岁时,干预组在适应性、大运动、精细动作、语言、个人-社交五大能区以及DQ评分显著高于常规育儿组(P<0.05)。结论:早期干预能够提高早产儿体格、智力和运动发育水平,预防和减少脑瘫儿的发生,是提高人口素质的一项重要措施。更多还原

【Abstract】 Objective: To explore the effect of early comprehensive intervention on intellectual development and motor development of premature infants and its preventive effect on cerebral palsy. Methods: One hundred premature infants were divided into intervention group( 54 infants) and routine care group( 46 infants),the infants in routine care group were fed with routine method,while the infants in intervention group received early comprehensive intervention; physical developmental indexes of premature infants in the two groups were compared at six month and one year; mental development situations index( MDI) and psychomotor development index( PDI) at 3,6,12 and 24 months in the two groups were compared; intellectual development in the two groups were compared at 2 years old. Results: The incidence rate of cerebral palsy in intervention group was 1. 9%,which was statistically significantly lower than that in routine care group( 8. 7%)( χ2= 4. 695,P < 0. 05); physical development indexes of premature infants at 6 and 12 months in intervention group were statistically significantly higher than those in routine care group( P < 0. 05); MDI and PDI at 3,6,12 and 24 months in intervention group were statistically significantly higher than those in routine care group( P < 0. 05); the scores of adaptability,gross motor,fine motor,language and personal social intercourse and development quotient( DQ) in intervention group at 2 years were statistically significantly higher than those in routine care group( P < 0. 05). Conclusion: Early intervention can improve physical,mental and motor development levels of premature infants and prevent and reduce the occurrence of cerebral palsy,which is an important measure to improve the quality of population.更多还原