神经行为发育监测及早期干预对高危儿智能发育的影响

Effect of neurobehavioral development monitoring and early intervention on intelligence development in high-risk children

目的分析神经行为发育监测及早期干预对高危儿智能发育的影响效果。方法选取本院儿童保健科的高危儿106例,根据时间顺序先后分为对照组和观察组,各53例。对照组高危儿给予常规临床指导,主要以家庭干预为主。观察组在此基础上进行早期干预,不同年龄阶段开展不同方式的早期干预。对比两组患儿智能发育情况。结果观察组患儿6、12个月时大运动、精细动作、适应性、语言及个人社交评分均高于对照组,差异具有统计学意义(P<0.05)。观察组患儿品行问题、学习问题、心身障碍、冲动-多动、焦虑、多动指数评分均低于对照组,差异具有统计学意义(P<0.05)。结论针对高危儿需要积极做好神经行为发育监测以及早期干预,这对促进高危儿智力发育、心理发展有着重要意义。

Objective To analyze the effect of neurobehavioral development monitoring and early intervention on intelligence development of high-risk children. Methods A total of 106 cases of high-risk children were selected from the children＇s health division of our hospital. According to the chronological order, the children were divided into control group and observation group, with 53 cases in each group. The control group received routine clinical guidance, mainly family intervention. The observation group was given early intervention on this basis, and different ways of early intervention were carried out at different ages. The intelligence development of children in the two groups were compared.Results The scores of big movement, fine movement, adaptability, language and personal social intercourse in the observation group in age of 6 and 12 months were higher than those in the control group, and the differences were statistically significant（P〈0.05）. The scores of behavioral problems, learning problems, psychosomatic disorders, impulsehyperactivity, anxiety and hyperactivity index in the observation group were lower than those in the control group, and the differences were statistically significant（P〈0.05）. Conclusion For high-risk children, it is necessary to do a good job of neurobehavioral development monitoring and early intervention, which is of great significance to promote intellectual development and psychological development.