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目的通过分析早期综合发展服务对婴儿体格和智能发育的影响,探索基层医院促进婴儿体格和智能发育的方法。方法采用前瞻性队列研究方法,将2013年10月1日-2014年9月30日在广东省湛江市赤坎区妇幼保健院儿童保健科进行满月健康体检、家长自愿参与本研究的195例婴儿,按家长意愿分为早期综合发展服务组(干预组)和基础保健组(对照组),追踪随访至12月龄,于6、12月龄时进行体格和智能发育评估及比较。结果 6月龄时,干预组婴儿的体重或身长水平均略高于对照组,但差异无统计学意义(P>0.05);12月龄时,干预组婴儿的体重或身长水平均明显高于对照组,差异有统计学意义(P<0.05)。6月龄和/或12月龄时,干预组婴儿智能发育各能区得分及发育商均高于对照组,差异均有统计学意义(P<0.05)。结论基层医院开展早期综合发展服务能明显促进婴儿的体格和智能发育。
Objective To explore ways to promote physique and intelligence development of infants in primary hospitals by analyzing the impact of early comprehensive development services on physical and mental development of infants. Methods A prospective cohort study was conducted to examine the full-moon health examination in the Child Health Section of Chikan District MCH Hospital of Guangdong Province from October 1, 2013 to September 30, 2014. 195 infants According to the parents’ wishes, they were divided into early comprehensive development service group (intervention group) and basic health care group (control group). The patients were followed up to 12 months of age and assessed for physical and mental development at 6 and 12 months of age. Results At 6 months of age, the infants in the intervention group were slightly heavier than those in the control group, but the difference was not statistically significant (P> 0.05). At 12 months of age, infants in the intervention group had significantly higher body weight or body length Control group, the difference was statistically significant (P <0.05). At 6 months and / or 12 months of age, scores and developmental quotient of each intelligent area in infant intervention group were higher than those in control group (P <0.05). Conclusion The primary comprehensive development service in primary hospitals can significantly promote the physical and intellectual development of infants.