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背景:中国在早产儿和低出生体重儿早期干预方面的研究起步较晚,且对早期干预作用的评估基本上都在1岁或1岁以后。目的:探讨早期干预对早产儿和低出生体质量儿婴儿期行为发育的作用。设计:随机对照的实验研究。地点、对象和干预:选择在南京医科大学第二附属医院出生的早产儿、低出生体质量儿60例,按随机的方式分为实验组和对照组,实验组30例,男16例,女14例。平均出生体质量为(2268±531)g。对照组30例,男16例,女14例。平均出生体质量为(2307±398)g。应用南京医科大学陈荣华教授和邓静云教授等人设计的一套用于0-3岁儿童早期教养的方案。具体方法是在实验组婴儿出生时,1,3,6,9,12个月时到早期教育门诊由医生指导家长如何训练孩子,要求家长每天在家完成训练任务,同时随访监测孩子的体格生长和行为发育情况。主要观察指标:实验组和对照组3,6,9,12个月的发育商。结果:实验组在适应性、大运动、精细动作、语言和社会交往5个能区上的发育商均值在各月龄段都高于对照组,且从3个月开始在精细动作和社会交往能区与对照组存在统计学差异。在12个月龄阶段实验组和对照组婴儿各能区的发育商均值,除了大运动能区(91±8,86±10)差异有显著性意义(t=2.022,P<0.05)外,适应性(97±5,89±4)、精细动作(98±10,88±8)、语言
Background: Studies on early intervention in preterm and low birth weight infants started relatively late in the country, and the assessment of early intervention was essentially 1 year old or 1 year old. Objective: To investigate the effect of early intervention on the behavioral development of infants with preterm and low birth weight infants. Design: Randomized controlled experimental study. Location, Subjects and Interventions: Preterm infants born at the Second Affiliated Hospital of Nanjing Medical University were selected. Sixty children with low birth weight were randomly divided into experimental group and control group. The experimental group included 30 males and 16 females 14 cases. The average birth weight was (2268 ± 531) g. Control group, 30 cases, 16 males and 14 females. The mean birth weight was (2307 ± 398) g. Application of Nanjing Medical University Professor Chen Ronghua and Professor Deng Jingyun, who designed a set of programs for early education of 0-3-year-old children. The specific method is in the experimental group of infants born at 1, 3, 6, 9, 12 months to early education clinics by the doctor to guide parents how to train children, requiring parents to complete training tasks at home every day, while follow-up monitoring of children’s physical growth and Behavior development. MAIN OUTCOME MEASURES: Developers at 3, 6, 9 and 12 months in experimental group and control group. Results: The average value of developmental quotient in the five energy zones of adaptability, big movement, fine movement, language and social interaction in experimental group was higher than that in control group in all age groups, and from 3 months in fine movement and social interaction The energy zone and the control group there is a statistical difference. In 12-month-old infants, the average value of developmental quotient of infant in each experimental group was significantly higher than that in large motor energy (91 ± 8,86 ± 10) (t = 2.022, P <0.05) Adaptability (97 ± 5,89 ± 4), fine motor (98 ± 10,88 ± 8), language