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目的探讨在高危儿随访期应用婴幼儿发育商(DQ)评分进行临床干预的效果研究。方法选取2013年2月-2016年11月该院收治的高危儿276例,随机分为干预组和未干预组,随访期到2周岁,对所有高危儿进行婴幼儿DQ评分,比较两组高危儿干预指导后大动作、精细动作、认知能力、语言及社交能力的评价结果,同时对高危儿出现神经异常和脑性瘫痪情况进行临床统计分析。结果高危儿1周岁和2周岁时,干预组的五个功能区及DQ总分均明显高于未干预组(均P<0.05);干预组高危儿出现视听障碍、运动障碍、神经反射和异常姿势者明显低于未干预组,其中未干预组出现2例脑性瘫痪患儿,干预组未出现(均P<0.05)。结论应用婴幼儿DQ评分有利于早期发现高危儿智力发育情况,根据测试结果及时采取干预措施能够降低高危儿出现神经系统疾病和脑性瘫痪的发生率,临床应建立长期随访测评制度。
Objective To investigate the effect of applying DQ score to clinical intervention in high-risk infants during the follow-up period. Methods A total of 276 high-risk infants admitted to our hospital from February 2013 to November 2016 were randomly divided into intervention group and non-intervention group. The follow-up period was up to 2 years old. The DQ scores of infants in all high-risk infants were compared. After intervention, the results of major movements, elaborate movements, cognitive skills, language and social skills were evaluated. Clinical data were also analyzed for neurological abnormalities and cerebral palsy in high-risk infants. Results At the first and second year of high risk infants, the five functional areas and the total score of DQ in the intervention group were significantly higher than those in the non-intervention group (all P <0.05). The high risk infants in the intervention group had visual impairment, dyskinesia, reflex and abnormalities Posture was significantly lower than the non-intervention group, including two non-intervention group of children with cerebral palsy occurred in the intervention group did not appear (P <0.05). Conclusion The application of infants DQ score is conducive to the early detection of intelligence development in high-risk infants. According to the test results, timely interventions can reduce the incidence of neurological diseases and cerebral palsy in high-risk infants. A long-term follow-up evaluation system should be established.