东莞市高危儿早期干预的效果  

Effect of Early Intervention on High Risk Infants in Dongguan City

作　　者：谢洋[1] 庾静云 陈霭信 XIE Yang;YU Jingyun;CHEN Aixin(Department of Children's Health,Dongguan Maternal and Child Health Care Hospital,Dongguan Guangdong 523120,China;Department of Health,Dongguan Maternal and Child Health Care Hospital,Dongguan Guangdong 523120,China)

机构地区：[1]东莞市妇幼保健院儿童保健科,广东东莞523120 [2]东莞市妇幼保健院保健部,广东东莞523120

出　　处：《中国卫生标准管理》2024年第4期36-40,共5页China Health Standard Management

基　　金：广东省东莞市社会发展科技项目面上项目(20231800905012)。

摘　　要：目的 探讨东莞市高危儿早期干预的效果。方法 将2022年2—10月东莞市妇幼保健院收治的400例高危患儿纳入研究。根据双盲随机法分为早期干预组和常规育儿组,各200例。常规育儿组主要接受家庭常规干预,早期干预组主要接受家庭配合医疗部门进行早期综合干预。对比2组的干预效果、发育水平、后遗症发生率及依从性。结果 干预前,2组粗大运动功能评分比较,差异无统计学意义(P> 0.05);干预后,早期干预组粗大运动功能评分高于常规育儿组,差异有统计学意义(P <0.05)。干预前,2组发育水平比较,差异无统计学意义(P> 0.05);干预1、2个疗程后,早期干预组发育水平均高于常规育儿组,差异有统计学意义(P <0.05)。早期干预组后遗症总发生率为0.50%,低于常规育儿组的5.50%(P<0.05)。早期干预组干预总依从性为98.50%,常规育儿组干预总依从性为94.00%,早期干预组高于常规育儿组(P <0.05)。结论 早期干预可有效促进高危儿的正常发育,降低后遗症发生的风险。Objective To explore the effect of early intervention on high-risk children in Dongguan city.Methods A total of 400high-risk children admitted to Dongguan Maternal and Child Health Care Hospital from February to October 2022 were included in the study.They were randomly divided into the early intervention group and the conventional parenting group using a double-blind randomization method,with 200 cases in each group.The conventional parenting group mainly receives routine family intervention,while the early intervention group mainly receives early comprehensive intervention from the family in cooperation with the medical department.The intervention effects,developmental levels,incidence of sequelae,and compliance were compared between the two groups.Results Before intervention,there was no significant difference in gross motor function scores between the two groups(P > 0.05).After intervention,the gross motor function score of the early intervention group was higher than that of the conventional parenting group,and the difference was statistically significant(P < 0.05).Before intervention,there was no significant difference in development level between the two groups(P > 0.05).After 1 and 2 courses of intervention,the development level of early intervention group was higher than that of conventional parenting group,and the difference was statistically significant(P < 0.05).The total incidence of sequelae in early intervention group was 0.50%,which was lower than that in conventional parenting group(5.50%)(P < 0.05).The total intervention compliance of the early intervention group was 98.50%,and that of the conventional parenting group was 94.00%,which was higher in the early intervention group than in the conventional parenting group(P < 0.05).Conclusion Early intervention can effectively promote the normal development of high-risk infants and reduce the risk of sequelae.

关 键 词：高危儿 早期干预 发育水平 大运动 后遗症 依从性 

分 类 号：R722[医药卫生—儿科]