早产儿出院后随访管理及早期干预对其预后的影响  

Effects of Follow-up Management and Early Intervention on Prognosis in Preterm Infants after Discharge from Hospital

作　　者：夏晓芹[1] 卢庆晖[1] 何丽平[1] 阳红华[1] 张志刚[1] 唐上可 赖宝添 黄远波[1] 赵华玉[1] 

机构地区：[1]中山大学附属东华医院新生儿科,广东东莞523110

出　　处：《南昌大学学报（医学版）》2015年第6期58-60,共3页Journal of Nanchang University：Medical Sciences

基　　金：广东省东莞市医疗卫生科技计划(20131051010241)

摘　　要：目的探讨早产儿出院后随访管理及早期干预对其预后的影响。方法将在中山大学附属东华医院儿科门诊规律随访的134例早产儿按随机数字表法分为观察组和对照组,每组67例。观察组给予早期干预措施(建立早产儿随访监测网络及随访档案,给予发育支持护理,进行母乳或奶粉喂养,根据个体情况补充铁剂,指导家长对早产儿的智力及运动能力进行早期教育,定期进行神经系统检查,早期进行康复训练等)。对照组给予常规育儿指导(出院前告知产妇正确的喂养方法,鼓励母乳喂养,普及基本知识)。采用中国标准化的贝莱量表对2组患儿出院后3、6、9及12个月时的智力发育指数(MDI)及运动发育指数(PDI)值进行比较。结果 2组3、6个月的MDI值比较差异无统计学意义(P>0.05);观察组9、12个月的MDI值,3、6、9及12个月的PDI值均明显高于对照组(均P<0.05)。结论早产儿出院后随访管理及早期干预效果确切,有助于改善患儿的智力及运动发育。Objective To investigate the effects of follow-up management and early intervention on the prognosis of premature infants after discharge from hospital.Methods A total of 134 premature infants regularly followed up at the Outpatient Clinic of Pediatrics of Donghua Hospital Affiliated to Zhongshan University were randomly divided into two groups,with 67 infants in each group.The observation group was given early intervention measures,including the establishment of monitoring network and records of follow-up,development support nursing,breast milk or formula feeding,iron supplement,guidance for parents on early education of intelligence and movement ability of premature infants,regular examination of nervous system,and early rehabilitation training.The control group was given routine parental guidance,including the notification of correct feeding method,encouragement of breastfeeding,and popularization of basic knowledge.The mental developmental index（MDI）and psychomotor developmental index（PDI）were measured using the Bayley Scale at 3,6,9and 12 months after discharge from hospital.Results There were no significant differences in MDI scores between the two groups at 3and 6months after discharge from hospital（P〉0.05）.Compared control group,early intervention resulted in a significant increase in MDI scores at 9and 12 months after discharge from hospital,as well as in PDI scores at 3,6,9and 12 after discharge from hospital（P〈0.05）.Conclusion The follow-up management and early intervention can effectively improve the mental and motor development of premature infants.

关 键 词：早产儿 随访管理 早期干预 预后 

分 类 号：R722[医药卫生—儿科]