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【目的】探索规范管理和早期干预对窒息儿智力发育的影响,为制定更有效的个体化针对窒息儿的随访干预措施以及管理方案提供理论依据。【方法】将窒息儿随机分为干预组及对照组,同时随机选取正常对照组进行随访。干预组出生后即从产科和新生儿科开始建立专科档案,在本院高危儿随访中心进行规范管理和早期综合干预。各组均在1岁时用Gesell婴幼儿发育量表进行智能监测。【结果】①1岁时窒息干预组的5个能区和平均发育商(develop-mental quotient,DQ)均高于窒息对照组(P<0.05);②窒息干预组的大运动、适应行为、语言、个人社交和平均DQ与正常对照组差异无显著性(P>0.05);窒息干预组精细动作DQ低于正常对照组(P<0.05);③窒息对照组5个能区和平均DQ均低于正常对照组(P<0.01)。【结论】利用高危儿监测网,统一管理,多学科合作并配合家庭式的干预模式,对窒息儿进行规范管理和早期综合干预能促进窒息儿的智能发育。
【Objective】 To explore the impact of standard management and early intervention on intellectual development of asphyxiated children and to provide a theoretical basis for making more effective individualized follow-up interventions and management programs for asphyxiated children. 【Methods】 Asphyxia children were randomly divided into intervention group and control group, while normal control group were randomly selected for follow-up. The intervention group was born from the obstetrics and neonatology began to establish specialist files, high-risk children in our hospital follow-up center for normative management and early comprehensive intervention. All groups were monitored intelligently with the Gesell Infant Developmental Scale at 1 year of age. 【Results】 ①At 1-year-old asphyxia group had higher energy-use quotient (quotient) and develop-mental quotient (DQ) than asphyxia group (P <0.05) (P> 0.05). There was no significant difference in individual social and average DQ between normal group and control group (P> 0.05). DQ of fine motion in asphyxia group was lower than that in normal control group (P <0.05) In normal control group (P <0.01). 【Conclusion】 Standardized management and early comprehensive intervention of asphyxia children can promote the intelligent development of asphyxiant children by using high risk children monitoring network, unified management, multidisciplinary cooperation and family-based intervention mode.