家庭中早期干预促进高胆红素血症新生儿智能发育

Family early and middle stage interrupt can promote newborn hyperbilirubinemia intelligent growth

目的：探讨指导家长在家中对高胆红素血症新生儿进行早期干预训练，降低智能落后的发生率及落后程 度。方法；对１７２例高胆红素血症新生儿采用Ｇｅｓｅｌｌ方法在生后３月～３岁期间进行随访，并指导家长在家中进行视、 听、感知觉及运动方面干预训练。结果：干预组１７２例中有１２例智能发育异常，均为轻度改变；对照组１７２例中有４４例 出现智能发育异常，其中有８例为重度改变。父母高学历及干部家庭背景患儿较父母学历偏低、工农家庭背景者智能落 后发生率低。结论：家庭早期干预训练可明显降低高胆红素血症患儿智能异常的发生率及落后程度。对父母学历较低、工 农家庭背景的患儿更应加强督促训练。

Objectives To probe into guiding parents do early stage interrupt train to newborn hyperbiliru binemia, decrease incidence of backward intelligent and the degree. Methods: To investigate 172 cases of new- born hyperbilirubinemia from 3 months to 3 years old with Gesell method, guide parents do interrupt train of visual, aural, feeling sense, consciousness and motion ability. Results: In the 172 cases of the interrupt group, 12 cases intelligent growth are abnormal, have light degree change. In the 172 cases of control group, 44 cases of intelligent growth are abnormal, of them, 8 cases are serious change . The incident of patient whose parents are high record or cadre are lower than those whose parents are low record or workers, peasants. Conclusion: Family early stage interrupt train can evidently decrease newborns hyperbilirubinemia abnormal intelligent inci- dent and the degree. Patients whose parents are low record or workers, peasants should be raise train.