早期综合干预对高危儿婴儿期运动和认知发育的影响  

Effects of early comprehensive intervention on motor and cognitive development of high-risk infants

作　　者：林玲 张丽珊 章依文[2] 许磊 王蒂 王惠玉 LIN Ling;ZHANG Li-shan;ZHANG Yi-wen;XU Lei;WANG Di;WANG Hui-yu(Shanghai Pudong Maternal and Child Health Institution.Shanghai 201399,China;Depariment of Developmental and Behavioral Pediatrics,Shanghai Children's Medical Center Afiliated to Medical School of Shanghai Jiao Tong University,Shanghai 200127,China)

机构地区：[1]上海市浦东新区妇幼保健所,上海201399 [2]上海交通大学医学院附属上海儿童医学中心发育行为儿科,上海200127

出　　处：《中国儿童保健杂志》2020年第12期1313-1316,共4页Chinese Journal of Child Health Care

基　　金：上海市浦东新区卫生和计划生育委员会优秀青年医学人才培养计划(PWRg2017-23)。

摘　　要：目的研究早期综合干预对高危儿1岁内运动和认知发育的影响,以期为高危儿出院后的系统化管理提供参考依据。方法采用分层随机整群抽样法,将2018年1-9月出生并在浦东新区16家社区建册体检的高危儿(早产儿、低出生体重儿)分为对照组和干预组。两组均按《上海市儿童保健工作规范》开展高危儿常规管理,干预组在此基础上增加干预措施。比较两组高危儿运动和认知发育情况。结果 6月龄时干预组动作能(细)高于对照组(t=2.074,P<0.05);12月龄时干预组应物能高于对照组(t=2.353,P<0.05);6~12月龄应人能增长速度干预组高于对照组(t=2.474,P<0.05)。结论开展医院家庭联合的综合干预对高危儿的早期运动和认知发育具有促进作用。有必要开展进一步随访研究以探讨综合干预对高危儿远期发育的影响。Objective To analyze the effects of early comprehensive intervention on motor and cognitive development of high-risk infants during the first year, so as to provide reference for the systematic management of high-risk infants after discharge. Methods A stratified random cluster sampling method was adopted to select high-risk infants(premature infants and low birth weight infants) born from January to September 2018 from 16 communities in Pudong District.The high-risk infants were registered for physical examination in the corresponding communities, and were divided into the control group and the intervention group.Both groups carried out routine management of high-risk infants according to the "Shanghai Child Health Care Work Standard", and the intervention group received comprehensive intervention additionally.Motor and cognitive development of the two groups was compared. Results The fine motor development of the intervention group was higher than that of the control group at the aged of 6 months old(t=2.074, P<0.05).The cognition development of the intervention group was higher than that of the control group at 12 months(t=2.353, P<0.05).The increase velocity of the social-skills development in the intervention group was higher than that in the control group(t=2.474, P<0.05). Conclusions The early comprehensive intervention integrated hospital and home can facilitate the motor and cognitive development of high-risk infants.Further follow-up studies are warranted to explore the long-term effects of comprehensive intervention on development.

关 键 词：高危儿 综合干预 运动发育 认知发育 

分 类 号：R179[医药卫生—妇幼卫生保健]