CAJ | 학술논문

目的观察早期干预对早产儿运动、智力发育的影响.方法108例除外先天畸形和遗传代谢性疾病的早产儿分为干预组(n=57)和对照组(n=51).对照组进行常规保健和预防接种,干预组在对照组的基础上从新生儿期起施行相应的早期干预.1岁及2岁时用贝利婴幼儿发展量表进行运动、智力评估,2岁时进行脑瘫筛查.结果两组各失访1例.干预组1岁及2岁时精神运动和智力发育指数均高于对照组(P<0.05),脑瘫发生率低于对照组(P<0.05).结论早期干预能有效促进早产儿运动、智力的发育,降低脑瘫发病率.
목적관찰조기간예대조산인운동、지력발육적영향.방법108례제외선천기형화유전대사성질병적조산인분위간예조(n=57)화대조조(n=51).대조조진행상규보건화예방접충,간예조재대조조적기출상종신생인기기시행상응적조기간예.1세급2세시용패리영유인발전량표진행운동、지력평고,2세시진행뇌탄사사.결과량조각실방1례.간예조1세급2세시정신운동화지력발육지수균고우대조조(P<0.05),뇌탄발생솔저우대조조(P<0.05).결론조기간예능유효촉진조산인운동、지력적발육,강저뇌탄발병솔.
@@@@Objective To observe the effect of early intervention on motor and mental development in premature infants. Methods 108 cases of hospital-born premature infants were divided into early intervention group (n=57) and control group (n=51). All the cases accepted conventional treatment and health-care, and the intervention group accepted the early intervention in addition. They were assessed with psy-chomotor development index (PDI) and mental development index (MDI) of Bayley Scales of Infant Development when they were 1 or 2 years old. The incidence of cerebral palsy when they were 2 years old were recorded. Results 2 cases (1 for each) lost during the follow-up. The PDI and MDI were more in the intervention group than in the control group (P<0.05), both as the 1 and 2 years old. The incidence of ce-rebral palsy was less in the intervention group than in the control group (P<0.05). Conclusion The early intervention can promote mental and motor development in premature infants, and reduce the incidence of cerebral palsy later.