摘要
目的 探讨早期干预对提高早产儿生存质量的作用。方法 对128例早产儿采用医务人员和家长相结合的摸式，按照鲍秀兰教授主编的0-3岁教育大纲进行早期干预（教育），设为干预组；90例出院后家长拒绝干预的早产儿设为对照组。对两组患儿定期随访，进行体格发育检查和应用Gesell婴幼儿发育量表测试发育商（DQ）。对脑损害较重的患儿给予新生儿期后的继续治疗。对两组早产儿随访结果进行对比分析。结果 干预组一周岁半时，除一例伤残儿外，体重、身长、头围均达正常，而对照组有17例体重或身长低于正常（P〈0．01）；干预组各个能区的DQ均高于对照组（P均〈0．01），一周岁半时平均总DQ（103．1±10．3）明显高于对照组的（88．7±10．7），差异有统计学意义（t=9．61，P〈0．01），干预组总DQ〈70仅1例（1／128，0．78％），而对照组有6例（6／90，6．67％），差异有统计学意义（χ^2=5．9，P〈0．05）；干预组脑瘫发生率0．78％（1／128），低于对照组的3．33％（3／90）。差异有统计学意义（χ^2=7．75，P〈0．01）。结论 医务人员和家长密切配合，对早产儿早期干预（教育），可促进体格和智能发育，减少伤残，提高生存质量。
Objective Research into the impact produced by early intervention on the living quality of the premature infants. Methods An early intervention （education） was done to 128 cases of premature infants which was set as the intervention group in mode of cooperation of medical worker and parents according to ＂A Teaching Plan for the infants of 0 - 3 Years Old＂ compiled by Prof. Bao Xiulan as the chief complier; anther 90 cases of premature infants was set up as a contrast group. We made regular follow -up survey of the two groups of the sick infants, gave them healthy and development checks and tested their DQ by Gesell infant development quantity table and gave continous treatment to those who had suffered serious cerebral lesion after the neonatal period and then did contrast analysis of the result on basis of the follow - up survey. Results For the intervention group at the age of on year and six months （ except for one case of disability） the weight, head circumference and height of the infants were all normal;for the contrast group 17 of them inferior to average in weight and height. （P 〈 0. 01 ）. The DQ in every functional area of the intervention group is higher than that of the contrast group （P 〈0. 01 ）. at the age of one year and six months the average of DQ （ 103.1± 10. 3 ） of the intervention group is distinctively higher than that of the contrast group（88.7±10.7）. The difference is significant（ t = 9.61, P 〈0. 01 ）. There is only one case in the intervention group whose DQ 〈70（1/128） taking 0. 78% of the total while in the contrast group there are six cases （6/90） taking 6. 67% of the total. Therefore, the difference is distinctively significant（χ^2 = 5.9, P 〈 0. 05 ）. The incident rate of cerebral paralysis in the intervention group was 0. 78% （ 1/128 ） which was less than 3.33% （3/90） of the contrast group. The difference is significant （χ^2 = 7.75, P 〈 0. 01 ）. Conclusions The early intervention （ education ） in cooperation of
出处
《中国新生儿科杂志》
CAS
2006年第6期332-335,共4页
Chinese Journal of Neonatology
关键词
婴儿
早产
干预性研究
预后
Infant, premature
Intervention studies
Prognosis
