高危儿、早产儿规范化的早期干预模式研究  

Analysis on standardized model of early intervention in high-risk and premature infants

作　　者：李玲[1] 薛云丽[1] 张英丽[1] 陈爱丽[1] 王文阁[1] 

机构地区：[1]河南省南阳市中心医院儿二科,473000

出　　处：《中国妇幼保健》2009年第12期1644-1645,共2页Maternal and Child Health Care of China

摘　　要：目的:观察在婴幼儿发育最快的早期接受丰富的视、听、感、触觉训练塑造最优的大脑皮层,促进婴幼儿大脑发育和重组结构功能的效果。方法:利用家庭的功能作用,建立良好的亲子关系,教会家长育儿知识,从语言、运动、认知、生活、交往能力几方面对高危儿进行有计划的干预,重点进行按摩和婴儿操训练,异常儿童留院强化训练。结果:早期干预组婴儿在出生体重、胎龄、NBNA评分、5 min Apgar评分与常规育儿组比较,差异无统计学意义。干预组经过1年的治疗,异常神经征象消失,只有1例出现脑瘫,发生率为0.38%,常规育儿组脑瘫发生率高达7.89%。结论:早期干预可有效地提高高危儿的智力发育指数和运动发育指数,降低脑瘫发生率。Objective：To observe the fastest development acceptance of rich audio-visual and tactile sense of training the best shape of the cerebral cortex in infants and young children＇s early,promote the development,reconstruction and function of the brains.Methods：A good parent-child relationship was established,high risk infants were intervened from language,movement,cognitive and life skills.Abnormal infants received intensive training in hospital.Results：There was no difference in birth weight,gestational age,NBNA score,5 minutes Apgar score between intervened group and conventional group.Abnormal neurological signs in intervened infants disappeared after one year,only 1 case was found cerebral palsy,the incidence was 0.38%,while the incidence of cerebral palsy in conventional group was 7.89%.Conclusion：Early intervention is effective in raising mental development index and motor development index in high risk infants,reducing the incidence of cerebral palsy.

关 键 词：高危儿 早产儿 婴幼儿发育 功能训练 脑瘫 

分 类 号：R722[医药卫生—儿科]