CAJ | 학술논문

目的：观察实施家庭主导式早期干预对早产儿智力发育的影响。方法选择100例早产儿为研究对象，根据随机数字表法分为观察组和对照组，观察组采用家庭主导式早期干预，对照组采用常规育儿方法。观察并比较2组干预后智力发育情况及颅脑 MRI 检查结果的差异。结果干预后3、6、12、18个月，2组适应性、粗大运动、精细运动、语言及社交等发育商均值均呈升高趋势。但观察组在各时点各项评分均高于对照组，2组在组间、时点间以及组间和时点间交互作用差异均有统计学意义（ P ﹤0.01）。观察组 MRI 表现正常40例、异常10例，对照组MRI 表现正常29例、异常21例，观察组颅脑 MRI 表现正常的比例显著高于对照组（P ﹤0.01）。结论实施家庭主导式早期干预可以明显改善早产儿智力发育。
목적：관찰실시가정주도식조기간예대조산인지력발육적영향。방법선택100례조산인위연구대상，근거수궤수자표법분위관찰조화대조조，관찰조채용가정주도식조기간예，대조조채용상규육인방법。관찰병비교2조간예후지력발육정황급로뇌 MRI 검사결과적차이。결과간예후3、6、12、18개월，2조괄응성、조대운동、정세운동、어언급사교등발육상균치균정승고추세。단관찰조재각시점각항평분균고우대조조，2조재조간、시점간이급조간화시점간교호작용차이균유통계학의의（ P ﹤0.01）。관찰조 MRI 표현정상40례、이상10례，대조조MRI 표현정상29례、이상21례，관찰조로뇌 MRI 표현정상적비례현저고우대조조（P ﹤0.01）。결론실시가정주도식조기간예가이명현개선조산인지력발육。
Objective To explore the effect of early family oriented intervention on the intellectual development of premature infants. Methods One hundred cases of premature infants were chosen in the study,they were divided into observation group and control group according to randomly number table. The observation group was treated with early family oriented intervention,the control group used with conventional methods of child rearing. Differences were observed between the two groups after the intervention of children with mental development and brain MRI findings. Results After the intervention 3,6,12,18 months,adaptability,gross motor,fine motor,language and social development quotient( DQ)means of two groups increased. There were no statistically significant difference in the scores between two groups 3 months after the intervention( P ﹥ 0. 05),and 6,12,18 months after the intervention,the average of DQ in observation group was significantly higher than that of control group (P ﹤ 0. 01). MRI showed normal 40 cases,abnormalities 10 cases in observation group. For the patients in the control group,MRI was normal in 29 cases,abnormal in 21 cases. The normal proportion of observation group with brain MRI manifestations was higher than that of control group( P ﹤ 0. 01). Conclusion The early implementation of family oriented intervention can improve the intelligence development of premature infants.