早期干预促进窒息儿智能发育  

Early Intervention Improved Intellectual Development in Asphyxiated Newborn Infants.

作　　者：孙淑英[1] 鲍秀兰[1] 沈宝珠 单若冰 郭俊良 姜红 袁锦霞 赵风临 柴树伟 李着算 虞人杰 周丛乐 陈东平 薛维臣 

机构地区：[1]首都儿科研究所,100045

出　　处：《中国儿童保健杂志》1999年第4期238-240,共3页Chinese Journal of Child Health Care

摘　　要：目的　评价早期干预对窒息新生儿智能发育的效果。　方法　足月窒息儿( 阿氏评分5 分钟≤6分) 随机分为干预组(64 例) 和常规育儿组(55 例) 。正常对照组65 例。三组在性别、母亲文化、环境条件及体格发育方面无明显差别。0 ～2 岁早期教育大纲参考了国内有关资料,比正常儿童发育提前1 个月左右,内容包括运动、认知、语言和社会能力。早期干预是通过家长进行。　结果　早期干预组1 .5 岁精神发育指数( MDI) 比常规育儿组平均高14 .6 分( P< 0 .0001) ;运动发育指数(PDI) 高7 .1 分( P< 0 .05) ,两项均达正常对照组水平( P> 0 .05) 。窒息常规育儿组精神发育指数比正常对照组低10 .1 分( P< 0 .01) ,其中智力低下者5 例(9 .1 % ) ,干预组中无一例智力低下。　结论　早期干预可促进窒息儿智能发育。Objective To evaluate the effect of early intervention on the intellectual development in asphyxiated newborn infants. Methods Full term asphyxiated infants (Apgar score≤6 at 5 minutes after birth) were randomly assigned to early intervention group (64 cases) and conventional care (55 cases) group. The normal control group consisted of 65 infants. Sex, mother's educational background,environmental condition and physical development were not significantly different in 3 groups. Zero to two years early intervention program was compiled on basis of the national and foreign material about 1 month ahead of average development of the child. it included motor, congnitive, speech development and social behavior. parents were instructed to carry out early intervention. Results At the age of 1.5 years, average score of mental development index (MDI) in early intervention group was 14.6 higher than that in conventional care group ( P <0.0001). Psychomotor development index(PDI) in early interventional group was 7.1 higher than that in conventional group( P <0.05). Both MDI and PDI scores in early intervention group caught up with that in normal control group( P >0.05). MDI of conventional care group was 10.1 lower than normal control group ( P <0.01). six of 55 cases (9.1%)in conventional care group was mentally retarded,while none was mentally retarded in the early intervention group. Conclusions The early intervention could promote intellectual development of asphyxiated infants and be of much benefit to the prevention of mental retardation.

关 键 词：早期干预 智力发育 新生儿 

分 类 号：R722.120.5[医药卫生—儿科]