高危儿系统早期干预管理临床效果分析

Clinical effect of systematic early intervention on high-risk infants

目的探讨高危儿系统早期干预措施及临床效果。方法以聊城市东昌府区妇幼保健院2012年1月-2013年1月儿科NICU病房接受监护治疗痊愈出院的301例高危儿为研究对象,按家长意愿分为干预组(156例)和常规育儿组(145例),并将同期门诊进行1月龄健康查体的儿童设立为常规对照组(160例);1岁时均采用Gesell发育表对智能发育情况进行测评,并于规范管理后对高危儿的预后结局及智能发育进行比较。结果干预组的智能评估的适应性、大运动、精细运动、语言、个人-社交明显高于常规育儿组,后遗症的发生率明显低于未干预组,差异均有统计学意义(P<0.05)。结论系统的早期干预、随访及脑康复治疗,可促进高危儿的智能发育及运动发育,降低神经系统后遗症的发生率,提高患儿的生存质量。早期干预以家庭干预为中心,方法简单易行,易于接受。

Objective To investigate the measures and clinical effect of systematic early intervention on high risk infants. Methods A total of 301 high risk infants,who were treated and recovered in our hospital between 2012 and 2013,were dived into invention group（ 156） and non-interventiongroup（ 145） according to the willingness of their parents. Meanwhile,160 healthy children who received the routine 1 month physical examinations were selected as control group. All of the cases were measured using Gesell developmental scale when they were one year old. The outcomes and intelligence developments of the high risk infants were compared before and after the systematic management. Result The adaptability,gross motor,fine motor,language and individual social in the intervention group were significantly higher than those of the non-intervention group. However,the incidence of sequla in the intervention group was significantly lower than that in non-intervention group. Conclusions Systematic early intervention,follow-up and brain rehabilitation treatment can promote the intelligence development of high-risk infants and motor development,reduce the incidence of sequelae of nervous system,improve the quality of the patient＇s survival. Family-centered early intervention is a simple method and it is easy to be accepted.