低出生体重儿早期干预对生长发育及情绪发展的影响

The Effect of Early Intervention on Growth and Emotional Development of Low Birth Weight Infants

目的探索早期综合干预对低出生体重儿生长和神经发育及社会性发展的作用,为低出生体重儿的健康促进提供依据。方法采用单纯随机抽样的方法将出生体重<2500g的低出生体重儿分干预组和对照组。对干预组儿童予以发育筛查、营养指导、行为干预和早期教育等保健机构与家庭结合的综合干预措施进行早期干预。采用BMI、Gesell发育评估量表、CITSEA量表进行评估。结果2个月龄和6个月龄的低出生体重儿干预组,与正常体重组的儿童身体质量指数相近(P>0.05),除12月龄的适应性行为维度外,在Gesell所有维度上与对照组的差异均有统计学意义;低出生体重儿干预组、对照组与正常体重儿的情绪及社会性发展评分上,能力域维度的差异均有统计学意义(F=3.462,P<0.05)。结论早期综合干预有利于低出生体重儿童的体格生长和神经发育及社会性发展。

Objective To explore the effect of early comprehensive intervention on the growth,neurodevelopment,and social development of low birth weight infants,and to provide evidence for the health promotion of low birth weight infants.Methods Low birth weight infants with birth weight less than 2500g were randomly divided into intervention group and control group.Children in the intervention group were given early intervention by comprehensive intervention measures such as development screening,nutrition guidance,behavior intervention and early education.The BMI,Gesell Development Assessment Scale and CITSEA Scale were used to evaluate.Results The BMI of 2-month-old and 6-month-old low birth weight infants in the intervention group was similar to that in the normal weight group(P>0.05);there were significant differences in all dimensions of Gesell between the intervention group and the control group except for the adaptive behavior dimension of 12 months;the scores of emotional and social development of low birth weight infants in intervention group,control group,and normal weight infants were significantly different(F=3.462,P<0.05)・Conclusion Early comprehensive intervention is beneficial to the physical growth,neural development,and social development of low birth weight children.