早期干预对极低出生体重早产儿智能发育的影响研究

Effect of early intervention on intelligence development in very low-birth weight preterm children

目的探讨早期干预对极低出生体重早产儿智能发育的影响,为极低出生体重早产儿的早期干预提供依据。方法 239例极低出生体重早产儿为早产随访组,采用鲍秀兰早期教育资料制定的干预计划,进行系统干预,并与326例失访的早产儿童以及与随访组相似的326例正常儿童进行对照分析。采用Gesell儿童发育量表等标准化工具进行发育评估。结果早产随访组Gesell儿童发育量表5项均分、总发育商(developmental quuotient,DQ)总分与早产失访组相比差异均有统计学差异(均P<0.05)。结论早期干预能显著促进极低出生体重早产儿的智能发育,提高患儿的生活质量。

Objective To investigate the effects of early intervention on intel igence development in very low- birth weight preterm children. Methods Total 329 very low- birth weight premature infants born in our hospital received systematic invention based on the early education program developed by Bao Xiulan （intervention group）;326 very low- birth weight preterm children served as non- intervention group and 326 normal children served as normal control group. The intel igence development was assessed with Gese1l child development scale and other standardized tools. Results The average scores of 5 items in Gese1l child development scale and the total developmental quotient（DQ） score of intervention group were significantly higher than those of non- intervention group （P〈0.05）. Conclusion Early intervention can significantly promote intel igence development of the premature infants who have extremely low birth weight.