摘要
目的改善早产儿的预后，进行早期干预的协作研究。方法将１０３例早产儿随机分为干预组（５２例）和常规育儿组（５１例）。正常对照组（５３例）。干预组从新生儿期开始接受智能早期干预，早产儿两组的围产期情况相似。结果纠正年龄１岁半、２岁时干预组精神发育指数（ＭＤＩ）比常规育儿组平均高１３８和１４６（Ｐ＜０．００１），达正常组水平（Ｐ＞０．０５）。而常规育儿组ＭＤＩ比正常对照组分别低１１５分和８９分（Ｐ＜０．０５）。其中智力低下４例（７．８％）（４／５１），干预组中无一例智力低下。结论早期干预可以促进早产儿智能发育，有利于防治其智力低下。
Objective For improving the outcome of premature infants, an early intervention was carried out by an Early Intervention of Premature Infant Coorperative Research Group. Methods Premature infants (gestational age<37 weeks) were randomly assigned to early interventional (52 cases) and conventional care (51 cases) groups. Normal control group consisted of 53 infants. Perinatal conditions were of no significant difference between the two premature infant groups. Sex, parents educational background, environmental conditions and physical developments were of no significant difference among these 3 groups. Results At the corrected age of 1.5 and 2 average scores of mental development indexes (MDI) in early interventional group were 13.8 and 14.6, respectively, higher than those in conventional care group ( P <0.001). At the age of 1.5, MDI score in early interventional group caught up with that in the normal control group ( P >0.05). But in conventional care group, the scores at the age of 1.5 and 2 were 11.5 and 8.9, respectively, lower than those in normal control group. There were 4 cases (7.8%) who were mentally retarded in conventional care group but none in early interventional group. Conclusion The results showed that the early intervention could promote intellectural development of premature infants and be of benefit to the prevention of mental retardation.
出处
《中华儿科杂志》
CAS
CSCD
北大核心
1998年第10期598-600,共3页
Chinese Journal of Pediatrics
关键词
早产儿
早期干预
智力发育
Infant, premature Early intervention(education) Intelligence
