高危儿监测及早期干预的结果分析  

Analysis on results of monitoring high risk infants and early intervention

作　　者：宋亚非[1] 王玉瑛[1] 江铁成[2] 

机构地区：[1]辽宁省沈阳市妇幼保健所,110032 [2]辽宁省沈阳市儿童医院

出　　处：《中国妇幼保健》2004年第6期55-57,共3页Maternal and Child Health Care of China

摘　　要：目的 :调查各种高危因素发生率及高危因素对婴儿造成的影响 ,对高危儿进行神经运动、智能发育监测 ,及早发现有问题的孩子 ,利用 1岁以内婴儿脑神经细胞的再生能力 ,早期实施干预计划 ,刺激损伤的脑细胞修复 ,以减少高危因素造成的不利后果。方法 :采用 Ameil- Tisom的 1岁以内神经运动检查方法及 Gesell的 3岁以内小儿智能发育诊断方法等 ,检查 5 0 0例高危儿并随机抽取 12 5例 ,分成干预组和对照组。结果 :高危因素中首位为剖宫产 ,达 83.0 0 % ;30 .6 0 %的婴儿神经运动检查存在 1项或多项异常 ;16 .80 %的婴儿 Gesell检查存在 1个或多个能区 DQ在 80分以下 ;两组对照 :干预与不干预差异非常显著。结论 :主要的高危因素在产前及产时 ,缺氧性因素是主因 ,特别是宫内的慢性缺氧 ,是影响小儿智能发育的主要因素。干预训练应从孩子出生后就开始 。Objective:To survey various risk factors and effect on infants and monitor infants nerve movement and intellectual development in order to diagnose those children early.Utilizing regeneration ability of infant cranial nerve cell,the authorg can stimulate encephalon cell to plerosis.By means of reducing out come of high risk factors,they hope the children overtake unimpaired child.Methods:To use Ameil-Tisom nerve movement checking method with in year old and Gesell intelleetual faculties development dy namic method with in 3 years old.125 collecting from 500 is divided two groups.Intervention group 80 and matched control 45.Results:High risk factors are Cesarean section (83.0%),more than one nerve movement disorder (30.6%) and more than one DQ below 80 marks (16.8%) by Gesell.Comparing two groups,there is significant difference.Conclusion:Main high risk factors lie in antepartum and intrapartum.It is anoxia that major cause to affect child's intelligence development,especially chronic hypoxia in uterus.Intervention training should begin as soon as birth.It is necessary to screen and intervene for all high risk infants.

关 键 词：监测 早期干预 婴儿 高危因素 

分 类 号：R72[医药卫生—儿科]