0～3岁早产儿早期干预过程中的伦理学问题

The ethical problems in the early intervention of 0～3 year old premature infants

早期干预是预防和减少早产儿神经系统损伤的有效措施,可以促进早产儿的正常发育并减轻神经系统伤残的发生,对提高儿童综合素质和家庭幸福都至关重要。在早产儿早期干预过程中存在与医学伦理原则不相适应的方面,如医疗设施不足、医疗措施不当、专业人员不足,早产儿干预预后的不确定性,治疗时机与家长经济及遵医行为之间的冲突,家长知情选择和知情同意不足等,本文结合医学伦理学的观点对0～3岁早产儿在早期干预中存在的问题进行分析并提出相应的建议。

Early intervention is an effective measure to prevent and reduce the nervous system injury in preterm infants,It can promote the normal development of preterm infants and reduce the occurrence of the nervous system disability.It is vital to improve the comprehensive quality of children and family quality of life.In the stage of premature infant intervention,there are some aspects that are incompatible with the medical ethics principle,i.e.inadequate medical facilities,improper medical measures,lack of professionals,premature infants intervention prognosis uncertainty,the conflict between the timing of treatment and the parents'economic and compliance behaviors,parents'informed choice and informed consent.etc.This paper analyzes the problems in early intervention of0~3year old preterm infants and puts forward corresponding suggestions according to the viewpoint of medical ethics.