中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
23期
78-79
,共2页
高危儿%早期干预%理论%实践
高危兒%早期榦預%理論%實踐
고위인%조기간예%이론%실천
High risk infants%Early intervention%Theory%Practice
目的：探讨早期干预对高危儿行为发育的效果。方法：2011年12月-2013年12月收治高危婴幼儿80例，按自愿原则分为干预组(60例)和未干预组(20例)。对干预组实施康复训练和家庭运动训练相结合的系统早期干预，未干预组无系统早期干预。在患儿6个月和1岁时用CDCC婴幼儿发育检查量表对两组进行粗大运动、精细运动、自我照顾、认知社交4部分内容评分，最终整合评估两组运动发育指数(PDI)和智力发育指数(MDI)并作比较。结果：干预组运动发育指数、智力发育指数均明显高于未干预组，后遗症的发生率明显低于未干预组，差异均有统计学意义(P＜0.05)。结论：通过开展高危儿筛查与干预训练，降低高危儿脑瘫及智力落后的发生率，提高家长认识，提高依从度，保障高危儿筛查工作更好的开展，最终达到提高儿童身心健康的目的。
目的：探討早期榦預對高危兒行為髮育的效果。方法：2011年12月-2013年12月收治高危嬰幼兒80例，按自願原則分為榦預組(60例)和未榦預組(20例)。對榦預組實施康複訓練和傢庭運動訓練相結閤的繫統早期榦預，未榦預組無繫統早期榦預。在患兒6箇月和1歲時用CDCC嬰幼兒髮育檢查量錶對兩組進行粗大運動、精細運動、自我照顧、認知社交4部分內容評分，最終整閤評估兩組運動髮育指數(PDI)和智力髮育指數(MDI)併作比較。結果：榦預組運動髮育指數、智力髮育指數均明顯高于未榦預組，後遺癥的髮生率明顯低于未榦預組，差異均有統計學意義(P＜0.05)。結論：通過開展高危兒篩查與榦預訓練，降低高危兒腦癱及智力落後的髮生率，提高傢長認識，提高依從度，保障高危兒篩查工作更好的開展，最終達到提高兒童身心健康的目的。
목적：탐토조기간예대고위인행위발육적효과。방법：2011년12월-2013년12월수치고위영유인80례，안자원원칙분위간예조(60례)화미간예조(20례)。대간예조실시강복훈련화가정운동훈련상결합적계통조기간예，미간예조무계통조기간예。재환인6개월화1세시용CDCC영유인발육검사량표대량조진행조대운동、정세운동、자아조고、인지사교4부분내용평분，최종정합평고량조운동발육지수(PDI)화지력발육지수(MDI)병작비교。결과：간예조운동발육지수、지력발육지수균명현고우미간예조，후유증적발생솔명현저우미간예조，차이균유통계학의의(P＜0.05)。결론：통과개전고위인사사여간예훈련，강저고위인뇌탄급지력락후적발생솔，제고가장인식，제고의종도，보장고위인사사공작경호적개전，최종체도제고인동신심건강적목적。
To investigate the effects of early intervention on high-risk infants behavior development.Methods:80 cases of high risk infants were selected from December 2011 to December 2013.According to the principle of voluntary,they were divided into the intervention group(60 cases) and the non intervention group(20 cases).The intervention group were given early intervention of rehabilitation training combined with home exercise training.The non intervention group were without early intervention system.During the 6 months and 1 years,the CDCC infant development checklist were used to assesed fine motor,self care,cognitive social part of the contents in high risk infants of two groups,and finally psychomotor development index(PDI) and the mental development index(MDI) of two groups were assesed and compared.Results:Physical development index and the mental development index of high-risk infants in the intervention group were significantly higher than those in the non intervention group.The incidence of sequelae was significantly lower than that of the non intervention group.The differences were statistically significant(P<0.05).Conclusion:Through the development of high-risk infants screening and intervention training, cerebral palsy and mental retardation rate in high-risk infants are reduced;parents knowledge and compliance are improved;the screening of high risk infants can developed better;and finally reach the goal of improving physical and mental health of children.
