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目的观察实施有效、系统临床及家庭早期干预对早产合并低体重小儿智能发育的影响,为妇产科工作者提高对围产期高危因素的认识、完善围产期保健体系提供科学依据。方法把研究对象随机分为早产干预组、早产对照组及正常对照组,每组30例,干预组出生后在医院内即进行系统干预,直至12个月;早产对照组和正常对照组只给予一般喂养指导,三组研究对象均在3、6、12月龄采用国内标准化Gesell婴幼儿发育检查方法进行智能发育测量。结果三组小儿至12个月龄时,早产干预组各能区DQ值明显优于早产对照组(P<0.05),但与正常对照组则无显著性差异(P>0.05)。结论临床及家庭早期干预可以有效促进早产低体重儿的智能发育。
Objective To observe the effects of effective, systematic clinical and early family interventions on the intellectual development of preterm low birth weight infants and to provide a scientific basis for obstetrics and gynecology workers to raise awareness of perinatal high risk factors and perinatal health care system. Methods The subjects were randomly divided into premature delivery intervention group, preterm birth control group and normal control group, 30 cases in each group. The intervention group was systematically intervened in the hospital after birth until 12 months. The preterm birth control group and normal control group were given only General feeding guidance, three groups of subjects were in 3, 6, 12 months of age using the standardization of domestic Gesell infant developmental inspection method for intelligent development measurements. Results The DQ values in each energy area of premature delivery intervention group were significantly better than those of preterm birth control group (P <0.05). However, there was no significant difference (P> 0.05) with normal control group. Conclusion Clinical and early family intervention can effectively promote the development of premature low birth weight infants.