早期干预对高危儿体格智能发育的临床研究

The clinical research of early intervention for high- risk infants the physical and intelligence development

目的:探讨早期干预对高危儿体格智能发育的临床效果。方法:随机选取新生儿重症监护病房(NICU)病情稳定转入母婴健康促进部继续早期干预治疗的高危儿30例作为干预组。选取同期转入,家长拒绝综合干预,只进行常规输液治疗的高危儿30例作为对照组。对干预治疗后10 d,3、6、12个月分别进行生长发育、神经发育(NBNA评分)和智能发育(DQ评分)检查,并对两组结果进行比较。结果:治疗10 d后NBNA评分和DQ评分干预组高于对照组;随访3、6、12个月的生长发育指标、NBNA评分及DQ评分,干预组高于对照组,差异均具有统计学意义(P<0.05)。结论:早期干预对促进高危儿体格智力发育均有明显的疗效,应早期实施综合干预,并定期复查检验效果。

Objective To explore early intervention for high- risk infants physical intelligence development of clinical effect. Method Randomly selected in stable condition after NICU to maternal and child health promotion division continued to early intervention treatment of 30 cases of high- risk infants in intervention group. Selection to the same period,the parents refused to comprehensive intervention,only for regular infusions of high- risk infants 30 cases as control group. For 10 days after intervention therapy,3,6,12 months for growth and development,neural development,（ NBNA score） and intelligent development（ DQ score） inspection,and the result of the two groups were compared. Results Treatment after 10 days NBNA score and DQ scores intervention group were higher than the control group. Follow- up of 3,6,12 months of growth index,NBNA score and DQ scores of intervention group were higher than the control group,the differences were statistically significant（ P〈0. 05）. Conclusion Early intervention for high- risk infants physical mental development has obvious curative effect,it should be done early comprehensive intervention,and regularly review test results.