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目的 评价早期干预对窒息新生儿智能发育的效果。 方法 足月窒息儿( 阿氏评分5 分钟≤6分) 随机分为干预组(64 例) 和常规育儿组(55 例) 。正常对照组65 例。三组在性别、母亲文化、环境条件及体格发育方面无明显差别。0 ～2 岁早期教育大纲参考了国内有关资料,比正常儿童发育提前1 个月左右,内容包括运动、认知、语言和社会能力。早期干预是通过家长进行。 结果 早期干预组1 .5 岁精神发育指数( MDI) 比常规育儿组平均高14 .6 分( P< 0 .0001) ;运动发育指数(PDI) 高7 .1 分( P< 0 .05) ,两项均达正常对照组水平( P> 0 .05) 。窒息常规育儿组精神发育指数比正常对照组低10 .1 分( P< 0 .01) ,其中智力低下者5 例(9 .1 % ) ,干预组中无一例智力低下。 结论 早期干预可促进窒息儿智能发育,有利于防治其智能低下
Objective To evaluate the effect of early intervention on the intellectual development of neonatal asphyxia. Methods Children with full-term asphyxia (A score of 5 minutes ≤ 6 points) were randomly divided into intervention group (64 cases) and conventional nursing group (55 cases). The normal control group of 65 cases. There was no significant difference between the three groups in terms of gender, mother’s culture, environmental conditions and physical development. 0 ~ 2-year-old early education syllabus reference to the domestic relevant information, development than normal children about 1 month earlier, including exercise, cognitive, language and social skills. Early intervention is through parents. Results The MDI in the early intervention group was 14.6 points (P <0.0001) higher than that in the normal parental group and 7.1 points (P <0.05) in the PDI group , Both reached the level of normal control group (P> 0.05). The asphyxia group had lower mental development index than the normal control group by 10.1 points (P <0.01), including 5 cases (9.1%) with mental retardation, and no mental retardation in the intervention group. Conclusion Early intervention can promote the intellectual development of asphyxiated children, which is good for preventing and treating their mental retardation