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出 处:《华夏医学》2012年第4期581-583,共3页Acta Medicinae Sinica
基 金:广西壮族自治区卫生厅科研资助项目(z2003071)
摘 要:目的:探讨早期随访干预对极低出生体重儿(VLBWI)远期预后的影响。方法:选取VLBWI 72例,按住院号随机分为对照组和干预组。对照组患儿实施常规养育,干预组实施常规养育加随访干预,并定期对两组患儿进行新生儿神经行为测定(NBNA)和发育商数(DQ)、智能发育指数(MDI)、心理运动发育指数(PDI)的测定。结果:两组NABA评分差异无统计学意义(P>0.05)。12月龄时干预组大运动、精细运动、适应行为、语言和个人-社会性行为5大功能区评分较对照组明显升提高;10,12,24月龄时干预组MDI评分较对照组明显升高;6,10,12,24月龄时干预组PDI评分较对照组明显升高,差异均有统计学意义(P<0.05)。结论:早期随访干预可以明显提高VLBWI的DQ、MDI、PDI,提高VLBWI远期生活质量。Objective: To explore the effect of early follow-up and intervention on long term prognosis of very low birth weight infants(VLBWI).Methods: By hospital number,72 cases of VLBWI were randomly divided into control group and interference group.In addition to the conventional breeding for the infants in control group,the interference group given follow-up and intervention.The neonatal behavioral neurological assessment(NBNA),developmental quotients(DQ),mental development index(MDI) and psychomotor development index(PDI) was regularly determined.Results: NABA scores were not significantly different between the two groups(P〉0.05).At 12 months of age,the scores of main functional areas(gross motor,fine motor,language and personal-social) were higher in interference group than control group(P〈0.05).Compared with the control group,the MDI and PDI scores increased in interference group at 10,12 and 24 months of age,and the PDI scores also increased at 6 months of age(P〈0.05).Conclusion: Early follow-up and intervention could improve the DQ,MDI and PDI of VLBWT,and better the long-term quality of life.
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