早期干预对极低体重儿预后的影响  

The influence of prognosis during early intervention of very low birth weight infants

作　　者：周晓玉[1] 许植之[1] 赵卫华[1] 蒋小镛[1] 钱家萍[1] 程锐[1] 李勇[1] 

机构地区：[1]南京医科大学附属南京市儿童医院,江苏南京210008

出　　处：《小儿急救医学》2005年第2期120-122,共3页Pediatric Emergency Medicine

摘　　要：目的探讨早期干预对极低出生体重儿(VLBWI)预后的影响。方法对60例VLB WI分为甲组(系统随访与干预)30例,乙组(未系统随访与干预)30例,甲乙两组的基本情况均无明显差异(P均>0.05)。比较两组:(1)体格发育及智测;(2)早期干预即丰富环境,语言,视、听、触觉刺激的效果和有脑损伤者配合药物治疗及水疗指针综合疗法的疗效等。结果(1)甲、乙两组身长、体重、头围无显著差异(P均>0.05)。精神发育甲组比乙组高23分,运动发育落后甲组高于乙组27分。(2)乙组发育落后明显高于甲组(P均<0.05及0.01),脑瘫发生分别为3、20例,有显著性差异(P<0.01)。结论早期干预可以减轻与康复VLBWI脑损伤的程度,在干预过程中发现发育落后及脑瘫应及时治疗。Objective Explore the influence of Prognose during early intervention of very low birth weight infants (VLBWI).Methods 60 VLBWI were divided into two groups including group A (30 cases) which was given intervention and group B (30 cases) without early intervention.There was little difference between group A and group B in ordinary conditions (P>0.05).(1)Every infant was given physical,neurological examination and intelligence test (CDCC).(2)Early intervention consists of rich stimulation、 passive exercises、 water therapy and drugs therapy if the infants had brain injury.Results (1)There was little difference between group A and B in physical development (all P>0.05).Intelligence development MDI of group A was 23 marks higher than group B,PDI of group A was 27 marks higher than that of group B.(2)The cases of retarded development in group B were much more than group A (all P<0.01).The cases of cerebral palsy in group B 20 cases significantly higher than that of group A 3 cases,X 2=20.376 0 (P<0.01).Conclusion Early intervention can lighten the degree of retardation and injurious rate.

关 键 词：极低出生体重儿 早期干预 预后 

分 类 号：R722.6[医药卫生—儿科]