规范管理和早期干预对高危儿智能的影响  

Effects of early integrated intervention and standardized management on the intelligence of high-risk neonates

作　　者：李德乐[1] 施玉麒[1] 高建慧[1] 何淑华[1] 

机构地区：[1]中山市博爱医院儿科,广东中山528403

出　　处：《中国儿童保健杂志》2007年第4期401-402,共2页Chinese Journal of Child Health Care

基　　金：中山市科技计划项目(2005A081)

摘　　要：【目的】探讨高危儿规范管理和早期综合干预对高危儿智能的影响。【方法】高危儿干预组46例，均为2005-2006年中山市博爱医院新生儿重点护理病房（neonatal intensive case unit，NICU）住院新生儿；高危儿对照组230例，为2005年以前本院NICU住院新生儿，同期在本院儿保门诊常规体检的儿童作为正常对照组。用Gesell婴幼儿发育量表进行早期神经心理发育监测。【结果】高危干预组与高危对照组比较：1岁时高危干预组的语言和个人社交2个能区和平均发育商（developmental quotient，DQ）均高于高危对照组（P〈0．05）；而大运动、适应行为和精细动作DQ两组差异无显著性。高危干预组与正常对照组比较：大运动、个人社交和平均DQ两组差异无显著性；高危干预组精细动作和适应行为DQ比正常对照组儿童低（P〈0．05）；高危干预组的语言DQ比正常对照组儿童高（P〈0.01）。高危对照组5个能区和平均DQ均低于正常对照组（P〈0.01）。【结论】高危儿规范管理和早期综合干预能促进高危儿的神经心理发育。[Objective] To investigate the effects of early integrated intervention and standardized management on the intelligence of high-risk neonates. [Methods] The high-risk neonates from 2005 to 2006 in Boai hospital as the high-risk intervention group （n=46）, before 2005 the high risk neonates in the hospital as the high risk control group（n= 230）, at the same time the normal children health examination in department of child health care of our hospital as normal control group （n=95） . All the babies were measure useing Gesell developmental scale when they were one year old. [Results] At the age of one year, the developmental quotient （DQ） of language, social skills and average of the high-risk interven tion group was significantly higher than that of the high risk control group （P〈0. 01）. The DQ of large movement, adap rive behavior and fine motor was no significant difference between two groups. The DQ of large movement, social skills and average was no significant difference between high risk intervention group and the normal control group. The DQ of fine motor and adaptive behavior of high-risk intervention group was significantly lower than that of the normal control group （P〈0.01 ）. The language DQ of high risk intervention group was significantly higher than that of the normal control group （P〈0. 01）. All DQs of high-risk control group was significantly lower than that of the normal control group （P〈0. 01）. [Conclusion] The standardize management and early integrated intervention can improve the neuropsychological development of high-risk neonates.

关 键 词：高危儿 早期干预 智能 规范管理 

分 类 号：R749.94[医药卫生—神经病学与精神病学]