早期干预对高危儿认知发育影响的研究

Study on the effect of early intervention on high-risk infants’cognitive development

目的 探讨早期干预对高危儿认知发育的影响。方法 将 70例高危儿分为干预组 40例和未干预组 3 0例 ,干预组接受早期干预 ,两组患儿定期随访 ,以《Bayley智能发育量表》和《Gesell发育诊断量表》进行智能发育评估。结果 6月龄开始干预组各年龄段患儿智力发育指数 (MDI)和运动发育指数 (PDI)均显著高于未干预组 (P <0 .0 1) ;2岁时Gesell智能检查 ,干预组除大运动能区与未干预组存在差异外 (P <0 .0 5 ) ,其他四大能区差异均非常显著 (P <0 .0 1) ;干预组康复率明显优于未干预组 (χ2 =7.4,P <0 .0 1)。结论 对高危儿进行早期干预可改善其预后。

Objective To investigate the effect of early intervention on high-risk infants’cognitive development.Methods 70 high-risk infants were divided into two groups,intervention group (n=40) and non-intervention group (n=30).The infants in intervention group received early intervention.The infants in both groups were followed up regularly and were examined according to the “Bayley intelligence-examined table” and “Gesell development-diagnosis table”.Results The mental development index (MDI) and physical development index (PDI) at different development stages of children in intervention group were significantly higher than those in non-intervention group (P<0.01);the children in both groups were tested according to the “Gesell intelligence table” when they were two years old,there were significant differences in four functional areas,apart from large motive area (P<0.05),between the two groups (P<0.01);the rehabilitation rate of intervention group was obviously superior to that of non-intervention group (P<0.01).Conclusion The early intervention could improve the prognosis of high-risk infants.