| 摘要: |
| 目的:高危儿随访联合早期干预对降低新生儿残障率的临床疗效分析。方法:选取2012年2月到2015年2 我院收治的围产期高危儿63例,分为早期干预组和未干预组,同时选取足月健康新生儿20例作为对照组,比较三组婴儿6月龄和12月龄时的头围、身长、体质量等发育指标以及发育商等神经功能指标的差异。比较早期干预组和未干预组12月龄时神经运动功能正常率。结果:未干预组的高危儿在6月龄和12月龄时的头围、身长、体质量以及发育商均低于干预组和对照组,差异有统计学意义(P<0.05);而干预组在6月龄和12月龄时的头围、身长、体质量以及发育商与正常对照组比较差异无统计学意义(P>0.05)。干预组在12月龄时神经运动功能正常率79.2%,高于未干预组的40.0%,差异有统计学意义(P<0.05)。结论:对高危儿进行神经发育状况监测,并进行早期干预指导,能有效的提高高危儿神经功能的恢复。 |
| 关键词: 高危儿 早期干预 随访 神经功能 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2018.01.007 |
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| 基金项目: |
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| Clinical Effect of Follow-up and Early Intervention on Reducing the Rate of Neonatal Disability in the High Risk Infants |
| Liang Yulan, Chen Liang, Yuan Dan, Liu Yirong, Huang Ping |
| (Luzhou People's Hospital of Sichuan Province, Sichuan Luzhou 646000, China) |
| Abstract: |
| Objective: To explore the clinical effect of follow-up and early intervention on reducing the rate of neonatal disability in the high risk infants. Methods: Sixty-three cases of perinatal high-risk infants were selected from February 2012 to February 2015 in our hospital, they were divided into the early intervention group and non-intervention group, 20 healthy newborns were selected as the control group at the same time. The differences of the head circumference, body length and body weight of development indicators, the developmental quotient among the three groups at the age of 6 months and 12 months old were compared. The difference of normal rate of nerve motor function between early intervention group and non-intervention group at the age of 12 months old was compared. Results: The head circumference, body length, body weight and developmental quotient in the non-intervention of high-risk infants at the age of 6 months and 12 months old were lower than those in the early intervention group and control group, and the differences had statistical significance (P<0.05). The head circumference, body length, body weight and developmental quotient in the early intervention group and control group at the age of 6 months and 12 months old had non significant differences (P>0.05). The normal rate of nerve motor function in the early intervention group (79.2%) at the age of 12 months old was higher than that of non-intervention group (40.0%), and the difference has statistical significance (P<0.05). Conclusion: The neural development status monitoring of high-risk infants and with early intervention and guidance can effectively improved the recovery of neural function in high-risk infants. |
| Key words: high-risk infants early intervention follow up neurological function |
