张家港市高危儿童管理网络建立及干预模式的探讨  

Discussion of establishing management network and intervention model for high-risk infants in Zhangjiagang City

作　　者：邓红岩 张忠良 周丽霞 

机构地区：[1]张家港市妇幼保健所,江苏张家港215600

出　　处：《中国妇幼健康研究》2014年第4期659-660,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨建立高危儿管理网络对高危儿早筛查、早诊断、早干预的必要性及可行性。方法与残疾人联合会合作成立早期干预中心,利用高危儿管理网络的模式(三级妇幼保健网络和妇幼卫生信息系统),对纳入的2 140例高危儿进行专案管理;并及时在康复基地进行早期干预和评估。结果在2140例高危新生儿中通过脑损伤五项筛查发现无高危因素的异常婴儿45人;经不同阶段的随访评估诊断为可疑或异常儿童248人,均在张家港市儿童康复基地进行了综合干预,其中196例儿童通过评估已达正常发育水平。结论利用高危儿童管理网络对高危儿进行早筛查、早诊断、早干预,可优化医疗资源,值得在基层推广应用。Objective To explore the necessity and feasibility of establishing management network for high-risk infants for early screening, early diagnosis and early intervention. Methods Early intervention center was setup with the combined efforts of China Disabled Persons Federation （CDPF）. High-risk infants were managed with high-risk infant management network model （three levels of maternal and child health care network and maternal and child health information system） , and early intervention and evaluation were conducted in time in rehabilitation center. Results There were 2 140 high-risk newborns in Zhangjiagang in 2012. Meanwhile, there were 45 infants without any risk factors found as suspicious ones through ＂screening examination of high-risk infants＂. Totally 248 infants were evaluated as abnormal or suspicious ones through regular follow-up. All of these infants were intervened in rehabilitation center of Zhangjiagang. Through early interventions, 196 infants achieved normal development. Conclusion Under coordination of government, early screening, early diagnosis and early intervention for high-risk infants with management network can optimize medical resources. So management network for high-risk infants is worth promoting in primary level areas.

关 键 词：高危儿 高危儿网络管理 妇幼卫生信息系统 早期干预 模式 

分 类 号：R179[医药卫生—妇幼卫生保健]