CAJ | 학술논문

【目的】研究窒息新生儿早期综合干预的效果。【方法】干预组54例窒息新生儿接受两年的营养干预、体格发育监测和家庭早期教育的管理。用Z评分法动态评价小儿体格发育和营养状况；采用Gesell量表观察发育商变化；设正常、窒息对照组。【结果】干预组早期综合干预率81.5%，管理次数是对照组的2倍。蛋白质—热卡摄入量达RDA的标准，2岁时WAZ、HAZ、WHZ均值明显高于正常组和对照组(P＜0.01)接近WHO标准的中位值；2岁DQ均值达正常组水平，比对照组高1.51分(Q=6.425,P＜0.01)，无1例发育迟缓者。【结论】科学的营养管理、严密的生长发育监测和家庭早教训练能明显提高窒息儿的生命质量。
【목적】연구질식신생인조기종합간예적효과。【방법】간예조54례질식신생인접수량년적영양간예、체격발육감측화가정조기교육적관리。용Z평분법동태평개소인체격발육화영양상황；채용Gesell량표관찰발육상변화；설정상、질식대조조。【결과】간예조조기종합간예솔81.5%，관리차수시대조조적2배。단백질—열잡섭입량체RDA적표준，2세시WAZ、HAZ、WHZ균치명현고우정상조화대조조(P＜0.01)접근WHO표준적중위치；2세DQ균치체정상조수평，비대조조고1.51분(Q=6.425,P＜0.01)，무1례발육지완자。【결론】과학적영양관리、엄밀적생장발육감측화가정조교훈련능명현제고질식인적생명질량。
【Objective】　To study effect of early intervention on asphyxiated newborn.　【Methods】　54 cases asphyxiated newborns in intervention group were managed by physical growth monitoring,nutrition intervention and early family education in two years;assessed physical growth and nutrition by Z scores;observed intelligence development by Gesell Developmental Schedules.We carried out normal and asphyxiated control groups besides.　【Results】　When they were two years old,the intervened rate of intervention group was 80.0%,management frequency was as two times as control group,protein and energy taken reached the standerd of recommended dietary allowance(RDA);the means of Z score of weight for age(WAZ),weigth for height(WHA),height for age(HAZ) were significantly higher than normal(P＜0.01) and closer to the median of World Health Organization(WHO) standard,and the mean of developmental quotient(DQ) was higher than asphyxiated control group 15.1(q=6.425,P＜0.01),reached the level of normal,no stunt child.　【Conclusion】　Scientific nutrition management,growth monitoring,and early family education can obviously promote life quality of asphyxiated newborn.