早期综合发展干预对婴幼儿神经心理发育影响的效果分析  

Effect of early comprehensive developmental intervention on infants′ neuropsychological development

作　　者：刘晓莉[1] 王颎[1] 师晓红[2] 白增华[1] 郭虹 米素兰 LIU Xiaoli;WANG Jiong;SHI Xiaohong;BAI Zenghua;GUO Hong;MI Sulan(Department of Children Health Care,Shanxi Maternal and Child Health Care Hospital,Shanxi 030013,China)

机构地区：[1]山西省妇幼保健院儿保科,太原030013 [2]山西省妇幼保健院预防保健科,太原030013

出　　处：《中国生育健康杂志》2019年第6期505-509,共5页Chinese Journal of Reproductive Health

基　　金：山西省儿童医院、山西省妇幼保健院院基金资助(200717)

摘　　要：目的探讨早期综合发展干预模式对婴幼儿神经心理发育的影响.方法选取在社区系统接受保健管理的健康新生儿,随机分为研究组与对照组,对照组给予常规保健指导,研究组给予系统、个性化的早期综合干预指导.两组随访至1岁,比较两组婴幼儿的智力发展水平和社会生活能力.结果研究组婴幼儿在3月龄时社交行为评分为(100.7±16.8)分,显著优于对照组[(91.1±8.3)分];在9、12月龄时语言能力评分分别为(100.1±7.4)分、(107.5±12.0)分,显著优于对照组[9月龄:(93.0±10.5)分,12月龄:(100.0±9.6)分,P<0.05].随访至6、9、12月龄时,大运动、精细动作、适应能力及社交行为各能区及总发育商评分均高于对照组,差异均有统计学意义.对影响婴幼儿智能发育的因素做多元逐步回归分析,进入回归方程的有利因素是早期综合发展干预和母亲文化程度高,不利因素是添加肉类食物的月龄较晚(F=6.310,P<0.05).研究组婴幼儿独走出现的中位月龄是11.8月龄,对照组婴幼儿独走出现的中位月龄是13.2月龄,差异有统计学意义.采用婴幼儿S-M社会生活能力检查量表进行评估,研究组婴幼儿9月龄、12月龄时社会生活能力评分分别为(10.0±0.0)分、(10.0±0.3)分,显著高于对照组[9月龄:(9.8±0.5)分,12月龄:(9.8±0.3)分,P<0.05].结论早期综合发展干预对婴幼儿的智力发展和社会生活能力有明显促进作用,具有重要的社会意义和实用价值.Objective To explore the effect of early comprehensive developmental intervention model on infants′ neuropsychological development.Methods Healthy newborns receiving health care management in the community were randomly divided into study group and control group.The study group was given systematic and individualized early comprehensive intervention guidance and the control group was given routine health care guidance.All newborns were follows up to 1 years,the intelligence development and social life ability were compared between the two groups.Results The social behavior score of infants in the study group was (100.7±16.8) at the age of 3 months,which was significantly better than that of the control group (91.1±8.3),and the linguistic ability score was (100.1±7.4) and (107.5±12.0) at the age of 9 and 12 months respectively,which was significantly better than that of the control group [(93.0±10.5) and (100.0±9.6) respectively,P <0.05].The scores of motor activity,fine motor,adaptability and personal-social behavior as well as total development quotient in the study group were statistically higher than those in the control group at the age of 6,9 to 12 months ( P <0.05).Influencing factors of infant′s intelligence development were estimated through multiple stepwise regression analysis.Early comprehensive development intervention and high education of mother showed protective effect,and the risk factor was the late age of adding meat food( F=6.310,P <0.05).The median age of solitary infants was 11.8 months and 13.2 months in the study group and control group respectively ( P <0.05).The S-M Social Life Ability Scale was used to evaluate the social life ability of infants.The scores of social living ability of infants in the study group at 9 months and 12 months were (10.0±0.0) and (10.0±0.3),which were significantly higher than those in the control group [(9.8±0.5) and (9.8±0.3) respectively,P <0.05].Conclusion Early comprehensive development intervention service can significantly promote infants′

关 键 词：儿童早期综合发展 神经心理发育 智能发育 

分 类 号：R174[医药卫生—妇幼卫生保健]