CAJ | 학술논문

目的：探讨低出生体重（ low birth weight ，LBW）儿神经心理发育及早期干预作用，为低出生体重儿保健干预方法的选择提供合理依据。方法：选取2009年1月－2010年12月出生，生后至36月龄定期进行系统保健8次的LBW婴幼儿109例，设综合康复组、早期干预组、常规保健组，另设一般对照组。第1组实施医院为主的综合康复，第2组实施家庭为主的干预措施，4组中于6、12、24、36月龄时进行Gesell婴儿发育量表的测试。结果：综合康复组大动作、精细动作发育与早期干预组比较差异有显著性（P＜0．05），与足月儿比较无差异性（P＞0．05），实现了追赶性生长；综合康复组、早期干预组间适应性行为比较差异无显著性（P＞0．05），而语言、个人社交能力比较差异有显著性（P＜0．05），早期干预组优于综合康复组。结论：科学评估，开展以家庭为主体的早期干预模式，并与神经康复科建立转诊机制，可最大限度长期、有效、方便、经济地促进低出生体重儿神经心理发育。
목적：탐토저출생체중（ low birth weight ，LBW）인신경심리발육급조기간예작용，위저출생체중인보건간예방법적선택제공합리의거。방법：선취2009년1월－2010년12월출생，생후지36월령정기진행계통보건8차적LBW영유인109례，설종합강복조、조기간예조、상규보건조，령설일반대조조。제1조실시의원위주적종합강복，제2조실시가정위주적간예조시，4조중우6、12、24、36월령시진행Gesell영인발육량표적측시。결과：종합강복조대동작、정세동작발육여조기간예조비교차이유현저성（P＜0．05），여족월인비교무차이성（P＞0．05），실현료추간성생장；종합강복조、조기간예조간괄응성행위비교차이무현저성（P＞0．05），이어언、개인사교능력비교차이유현저성（P＜0．05），조기간예조우우종합강복조。결론：과학평고，개전이가정위주체적조기간예모식，병여신경강복과건립전진궤제，가최대한도장기、유효、방편、경제지촉진저출생체중인신경심리발육。
Objective:To explore the neuropsychology development in low birth weight ( LBW) infants and the effect of early intervention, and provide reasonable basis for the selection of low birth weight health care intervention. Methods: 109 cases of LBW infants were selected which was born from January 2009 to December 2010 and had the regular system care for 8 times after 36 months when it was born. The compre?hensive rehabilitation group (1st group), early intervention group (2nd group) , routine care group (3rd group), and normal control group (4th group) were set. The 1st group mainly took the hospital implementation of comprehensive intervention measures,the 2nd group mainly took the early intervention measures in the family. All the four groups took the Gesell scales of infant development test of objects in the month of 6, 12, 24, 36. Results:The difference between the comprehensive rehabilitation group of large movement and fine motor development and the early in?tervention group was significant (P<0. 05), while was no significant when compared with the full-term children(P>0. 05), which achieved the catch-up growth;The difference between the early intervention group and the comprehensive rehabilitation group was not significant in adap?tive behavior(P>0. 05), but it was significant in the language and personal-social skills (P <0. 05). Conclusion:Scientific assessment,es?tablish early intervention model of home-based,and the referral mechanisms of neurological rehabilitation department can promote the neuropsy?chological development of low-birth-weight children with a long-term, convenience, efficient and economical method.