摘要
【目的】探讨地市级妇幼保健院高危儿规范管理的模式,评估其可行性及有效性。【方法】建立高危儿随访中心,设置随访流程及干预模式,对2 701例建档高危儿随访、定期评价、咨询及指导,实施早期干预。【结果】①规范管理后2年与前2年比较、管理后第2年与第1年比较高危儿建档数以及半年、1年、2年随访率均有明显提高(P<0.001)。②1岁时早产随访组的适应行为、语言、个人社交和总发育商(developmental quotient,DQ)均高于失访组(P<0.05),早产随访组的精细动作、个人社交、语言和总DQ与正常对照组差异无显著性(P>0.05),早产失访组5个能区和总DQ均低于正常对照组(P<0.01);③脑瘫和可疑脑瘫康复率分别达到37.5%和90.9%。【结论】建立高危儿监测网,统一管理,多学科合作并配合家庭式的干预模式,是提高高危儿管理率及生存质量的可行、有效的管理模式。
[Objective] To explore and evaluate the validity and feasibility of the mode of standardized management of high risk neonates in municipal maternal and child health care hospitals. [Methods] Follow-up center for high risk heonates were set up with follow work process and intervention mode. Early intervention was done by following up 2 701 cases of high-risk neonates, establishing files, making periodical evaluation, consultant and guidance. [Results] （1）The rate of iollow-up in establishing files, 6 months, 1 year and 2 years of after 2 years standardized management were significantly higher than that of former 2 years（P〈0.00l）. The rate management were significantly higher than that of first year （P〈0. 001 ）. （2）At the follow up in establishing files, 6 months and 1 year of second year standardized age of one year, the developmental quotient （DQ） of adaptive behavior, language, social skills and average of follow-up intervention group in premature infants were significantly higher those of the lost group（P〈0.05）. The DQ of fine motor, social skills, language and average had no significant difference between follow up intervention group and normal control group （P〉0.05）. All DQs of lost group were significantly lower than those of the normal control group （P〈0.0l）. （3）The rate of recovering in diagnosed and suspected cerebral palsy were 37.5% and 90.9%. [Conclusions] Setting up network of supervision to high-risk neonates, unified management, multi-course cooperation combined with family intervention are valid and feasible mode of standardized management of high risk neonates in improveing the rate of high-risk neonates management.
出处
《中国儿童保健杂志》
CAS
2008年第1期16-18,共3页
Chinese Journal of Child Health Care
基金
中山市科技计划项目(2005A081)
关键词
高危儿
规范管理
模式
效果
high-risk neonates
standardized management
mode
effect
