摘要
目的 探讨早期干预与健康教育相结合预防高危儿脑瘫等后遗症的疗效.方法 将2007年1月～2008年1月在西安市妇幼保健院儿保科早教中心就诊的高危儿作为研究对象,在签署知情同意书的基础上,将研究对象分为干预组与对照组.对干预组84例患儿实行早期干预,并对家长进行健康教育;对照组64例患儿进行常规健康体检.在两组患儿1岁时行Gesell发育量表测评.结果 干预组在适应性、大运动、精细运动、语言、个人-社交5大能区及发育商方面均明显高于对照组,（t分别为6.714、4.535、7.554、5.071、6.954、3.384,均P=0.000）,且诊断中枢性协调障碍者的年龄较对照组早（t=-10.376,P=0.000）,治愈率明显高于对照组（确切概率法检验P=0.036）.结论 早期干预与健康教育有利于预防高危儿后遗症的发生.
Objective To evaluate effect of early intervention combined with health education for prevention of adverse outcomes such as cerebral palsy of high-risk infants. Methods All the infants admitted to Early Development Center, Department of Child Health Care, Xi＇an Municipal Maternal and Child Health Hospital in a period from January, 2007 to January, 2008 were selected and divided into intervention group and control group according to patient informed consent. 84 infants in the intervention group were performed early intervention and their parents received health education, while 64 infants in the control group received regular physical examination only. The developmental level of infants in the two groups at 1 year of age were evaluated with Gesell Developmental Scale. Results The scores in five domains such as adaptability, gross motor, fine motor, language, individual-society and developmental quotient （DQ） of infants in the intervention group were higher than those of infants in the control group（ t = 6. 714, 4.535, 7. 554, 5. 071,6. 954, 3. 384 respectively, all P = 0.000） and the time when the infant was diadnozed as central coordination disorder was earlier than that of infants in the control group （t = -10.376 ,P = 0.000）, whose curative rate was statistically higher than that in the control group（ by precise probability test method： P = 0.036）. Conclusion Early intervention combined with health education is helpful to prevent the sequelae of those high-risk infants.
出处
《中国妇幼健康研究》
2010年第4期473-476,共4页
Chinese Journal of Woman and Child Health Research
关键词
早期干预
健康教育
高危儿
中枢性协调障碍
early intervention
heath education
high-risk infant
central coordination disorder
