早期干预对早产儿体格及神经心理发育的影响

Effects of early intervention on physical and neurobehavioral development of premature infants

目的:探讨早期干预方案对早产儿体格、神经行为发育的影响。方法:将126例早产儿随机分为干预组63例和对照组63例。两组均给予常规体检及健康指导,干预组在此基础上还根据个体情况加用早期干预训练;定期观察、记录并比较两组婴儿体格、情绪、睡眠及智能发育指标。结果:干预组婴儿的体重、身长及头围的测量值均大于对照组,具有显著性差异(P<0.01);纠正3月龄,干预组婴儿睡眠情况明显好于对照组(P<0.05);纠正6月龄体检过程中,干预组哭闹人数明显少于对照组(P<0.05);纠正6月龄、12月龄,干预组发育商(DQ)明显高于对照组(P<0.01)。结论:早期干预训练有利于早产儿体格发育;有助于减少婴儿发生睡眠问题;可平和婴儿哭闹的不良情绪;可促进早产儿智能发育,提高其近期生活质量。

Objective ：To explore effects of early intervention on physical and neurobehavioral development of premature infants during infant period. Methods：One hundred and tweenty-six premature infants were randomly divided into intervention group （n = 63） and control one （n = 63）. They were treated with early intervention in intervention group,while a routine physical examination was given to control group. The physique, mood, sleep and intellectual development indexes were observed and recorded regularly, and then compared between two groups. Results ：The measured values of weight, height, and head circumference were significantly greater in the intervention group （P 〈 0.01 ）. At corrected 3 months old,the sleep conditions were significantly better in the intervention group （P 〈 0.05）. The number of crying in intervention group was significantly less during the physical examination process of the corrected 6 months （P 〈 0.05）. The developmental quotients in intervention group were remarkably increased,when they were corrected 6 and 12 months old （P 〈 0.01）. Conclusion：Early intervention is beneficial for the physical development of premature infants, and is helpfur for reduce of sleep problems,negative emotion of crying,and improvement of intelligence development of premature infants.