目的探讨家庭阶段性综合保健指导在极低出生体重儿中的应用。方法 15例极低出生体重儿早产儿,出生病情稳定后即开始接受早期综合干预指导,早期干预分5个阶段,专人负责,以鲍秀兰教授等编制的光盘、书籍:《婴儿科学健身法》、《塑造最佳人生开端》、《0～2岁运动落后的家庭指导》为教材,对VLBW儿童在动作、语言、认知能力及个人-社会交往4个方面进行训练指导,同时重视VLBW的体格发育及疾病预防。干预措施主要通过家长在家庭中实施,每月进行发育评估。结果 15例均完成18月龄的全程监测,12例完成CDCC测查,其中1例MDI﹤69,14例MDI在71～112分之间;PDI在正常范围内,无脑瘫。结论家庭阶段性综合保健干预指导强调以家庭康复为核心,重视基础保健和神经康复并重,可促进极低出生体重儿中智能发育。 Objective To explore the application of family stage comprehensive health care guidance in very low birth weight infants. Methods Fifteen cases of preterm infants with very low birth weight were enrolled in this study. Early intervention was started after the onset of stable condition. Early intervention was divided into five phases and the person was in charge of the project. The CD was prepared by Professor Bao Xiulan and other books: “Baby Science Fitness” “Shaping the best beginning of life” and “family guidance from 0 to 2 years old with backward exercise” as teaching materials, the training of VLBW children in four aspects of movement, language, cognitive abilities and individual-social interaction is given, meanwhile VLBW physical fitness Development and disease prevention. Interventions are mainly carried out in the family by parents and are evaluated monthly for development. Results All of the 15 patients were monitored at 18 months of age, and 12 patients underwent CDCC. One patient had MDI <69 and 14 patients had MDI between 71 and 112. PDI was within normal range and had no cerebral palsy. Conclusion The guidance of family stage integrated health care intervention emphasizes that family rehabilitation should be the core, attaching equal importance to basic health care and neurological rehabilitation, and promoting intelligent development in very low birth weight children.