高危儿三级妇幼保健网络管理模式价值的研究  

Value of the model of three-grade network management of maternal and child health for high-risk infants

作　　者：尤嘉 陈艳妮 吴俊雅 吕明珠 冯德全 何文娟 王瑾 

机构地区：[1]西安市妇幼保健院,陕西西安710002 [2]西安市新城区胡家庙卫生服务中心,陕西西安710032 [3]西安市未央区汉城卫生服务中心,陕西西安710018 [4]高陵县妇幼保健院,陕西西安710200

出　　处：《中国妇幼健康研究》2012年第5期560-562,572,共4页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨高危儿三级妇幼保健网络管理模式对降低高危儿脑损伤后遗症的效果。方法在西安市城区、郊区与郊县分别抽3个社区卫生服务中心为项目点，依托社区卫生服务中心-区县妇幼保健院-市妇幼保健院管理网络对高危儿进行分层、分级管理和早期干预，对筛查出神经发育异常的患儿及时康复训练。结果l岁时干预组Gesell各能区分值与对照组均无显著性差异（t=-1．7～-0．1，均P〉0．05）；未干预组Gesell各能区分值明显低于干预组和对照组（t=5．2—7．1；4．2—6．5，均P〈0．001）。1岁时干预组母乳喂养率高于对照组（86．0％vs56．0％,X^2=5．6，P〈0．01），干预组身长大于对照组，差异有统计学意义（78．04-3．2cmvs76．0±2．2cm，t=-2．6，P〈0．01）。结论高危儿三级妇幼保健网络管理模式有利于提高儿童智能和体格发育水平，可预防高危儿脑损伤后遗症的发生。Objective To explore the effect of model of three-grade network management of maternal and child health on reducing the sequelae of brain damage. Methods Three community health service centers were randomly selected from urban area, suburb area and county for this study. Through the network management of community health service center-maternal and child health care hospitals of county-municipal maternal and child health care hospital, the high-risk infants were surveyed in different levels and grades and interfered at early stage. Those with neural developmental disorders got rehabilitation training timely. Results There was no statistical difference in the scores in each domain of Gesell between intervention group and control group at one-year old （ t = - 1.7 - - 0.1 ） , but the scores in each domain of Gesell in nonintervention group were lower than those in intervention group and control group （t = 5.2 -7.1 ;4.2 ± 6.5, all P 〈 0.001 ）. When the infants were at 1 year of age, the rate of breasffeeding of infants in intervention group was higher than that in control group （86.0% vs56.0%,X2 =5.6, P〈0.01）, and so was height （78.0±3.2cm vs76.0±2.2cm, t= -2.6,P〈0.01）. The differences were statistically significant. Conclusion The model of three-grade network management of maternal and child health for high- risk infants is helpful to improve children＇ s mental and physical development and can prevent the sequelae of high-risk infants with brain damage.

关 键 词：高危儿 高危儿网络管理 早期干预 康复训练 

分 类 号：R174[医药卫生—妇幼卫生保健]