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目的:探讨早产儿于儿童保健门诊行早期综合发展模式干预的临床效果。方法:选取2014年1月~2016年1月就诊于我院儿保门诊的早产儿190例,依据区组随机化分组方法等分为对照组和观察组,对照组行儿保门诊常规干预方案;观察组给予早期综合发展模式干预。比较两组早产儿生长发育情况、中国标准化量表指标以及神经系统异常指标。结果:两组早产儿出生时头围、身长以及体质量比较差异无统计学意义(P>0.05),干预后两组早产儿头围、身长以及体质量较治疗前显著增加,干预后观察组头围、身长以及体质量明显优于对照组,差异有统计学意义(P<0.05)。干预12个月以及18个月后随访两组早产儿智力发育指数和运动发育指数明显优于对照组,差异有统计学意义(P<0.05)。对照组神经系统异常例数高于观察组,差异有统计学意义(P<0.05)。结论:早产儿于儿保门诊行早期综合发展模式干预,可有效减少神经系统异常的发生,促进早产儿身体与智能发育,对于提高早产儿生命质量有重要的临床意义。
Objective: To investigate the clinical effect of premature infant intervention in child health clinic in early comprehensive development mode. Methods: From January 2014 to January 2016, 190 cases of premature infants who visited our pediatric clinic were randomly divided into control group and observation group according to block randomization method. The control group received routine intervention program ; Observation group to give early comprehensive development model intervention. The growth and development of preterm infants in both groups were compared, and the indexes of Chinese standardized scale and indexes of nervous system abnormalities were compared. Results: There was no significant difference in head circumference, body length and body weight at birth between the two groups (P> 0.05). After intervention, the head circumference, body length and body weight of preterm infants in both groups were significantly increased compared with before treatment Head circumference, body length and body weight were significantly better than the control group, the difference was statistically significant (P <0.05). After 12 months and 18 months follow-up, the mental development index and motor development index of preterm infants in both groups were significantly better than those in control group (P <0.05). The abnormal number of nervous system in the control group was higher than the observation group, the difference was statistically significant (P <0.05). Conclusion: Premature infant intervenes in early comprehensive development mode of pediatric obstetrics and gynecology clinic, which can effectively reduce the incidence of nervous system abnormalities and promote the physical and intellectual development of premature infants. It has important clinical significance for improving the quality of life of premature infants.