医院与家庭有效联动对高危儿早期干预的临床研究

Clinical study on effective lingkage of hospital and family in early intervention for high-risk infants

目的观察医院与家庭有效联动对高危儿早期干预的效果，寻求有效可行干预方法。方法312例高危儿随机分为家庭常规育儿组（简称育儿组）和家庭与医院配合干预组（简称干预组），两组在医院均采用相同的常规综合治疗，干预组让家长共同参予干预计划，除在医院做训练治疗外，利用家庭的作用，每日至少进行两次家庭康复训练。育儿组的家长只依赖医疗机构，回家后除一般生活护理外，不做任何训练。结果干预组高危儿的精细动作，适应能力，社交行为的发育商为97．32％高于对照组的94．19％，差异有统计学意义（P〈0．05）。干预组的治疗效果显效率为14．2％，有效率为82．1％，总有效率达96．3％，明显高于育儿组的10％，73．3％和83．3％。结论建立规范的医院与家庭有效联动对高危儿早期干预可更好促进其神经、心理、行为发育，其模式是切实可行。

Objective To observe the effect of hospital and family effective linkage in early intervention for high-risk infants, and to seek effective and feasible intervention methods. Methods 312 cases of high-risk infants were randomly divided into family conventional parenting group （referred to ＂parenting group＂ ） and family and hospital intervention group （intervention group）, two groups in the hospital were treated with the same comprehensive treatment, all using the same routine comprehensive treatment, the intervention group let parents participate in the intervention program, based on training treatment in the hospital, taking advantage of the role of family, have some rehabilitation training at least two times per day. While parenting group only relied on medical institutions after coming home, with only general life care, without any other training. Results The fine movement, the adaptive capacity and social behavior of high-risk infants in the intervention group was 97.32%, much higher than that of the control group （94.19%）, showing statistical significant difference （P 〈 0.05）. The therapeutic efficiency rate, effective rate and the total effective rate of intervention group were 14.2%, 82.1% and 96.3%, significantly higher than those of the control group （10%, 73.3% and 83.3%）. Conclusion To establish standard hospital and family effective linkage for early intervention of high risk infants can promote the neurological, psychological and behavioral development, its model is feasible.