早期干预对高危新生儿智能发育的影响

Effect and mode of early intervention on high-risk neonate development

目的探讨早期干预对高危儿智能发育的效果和模式。方法选择1999年1月至2003年1月我院高危新生儿30例(男18例,女12例)为干预组,以家庭为中心的干预模式进行早期干预,同时设立同期的高危儿31例(男19例,女12例)为对照组,两组患儿的围产期情况和环境因素相似。结果干预组智能发育指数(MD I)和运动发育指数(PD I)均显著高于对照组(P<0.001,P<0.005);神经系统后遗症发生率明显低于对照组。结论早期干预对高危儿智能发育有明显促进作用,并能防治神经系统后遗症。以家庭为中心的干预模式简单易行,并易被家长接受。

Aim To investigate the effect and mode of early intervention on high - risk neonate. Methods 30 high-risk neonates in intervention group （male 18 cases,female 12 cases）and 31 high-risk neonate in control group（ male 19 cases,female 12 cases） were studied,all of whom were in our hospital between Jan. 1999 and Jan. 2003. High-risk neonates in intervention group were early trained and educated after birth in their homes. Perinatal condition and enviromental factor were of no significant difference between the two high-risk neonate groups. Results At age of 1 and 2 years average scores of mentar developmental Index （MDI） and psyoho-moter developmental index（PDI） in intervention group were higher than those in control group（ P 〈 0.001 ,P 〈 0. 005）. The morbidity rate of nervous system sequelae in intervention group was significantly lower than that in control group. Conclusion The result showed that early intervention could promote intellectual development of high - risk neonate, and be of benefit to prevention of nervous system sequelae. The intervention mode on the basis of the family is easy to apply and to be accepted by parents.