中国临床康复2004，Vol.8Issue(15)：2992-2993,2.
早期干预对早产儿和低出生体质量儿婴儿期行为发育的影响
Effects of early interventions to behavior development in infancy among premature and infants with low body mass at birth
摘要
Abstract
BACKGROUND: The beginning of the research on early interventions of premature and low birth body mass infants was a bit late. Evaluations on the effects of early interventions were just done at 1 year old or after 1 year old.OBJECTIVE: To discuss the effects of early interventions on infancy behavior development in premature and low birth weight infants.DESIGN: Randomized case-control trial study.SETTING, PARTICIPANTS and INTERVENTION: Sixty cases of premature and low birth body infants were chosen from Second Affiliated Hospital of Nanjing Medical University and were randomly divided into experimental group and control group. The experimental group included 16 males and 14 females, the mean body mass at birth was(2 268 +531) g. In the control group, there were also 16 males and 14 females, the mean body mass at birth was(2 307 + 398) g. A set of early stage upbringing plan designed by Professors Chen RH and Deng JY of Nanjing Medical University, which targeted for 0 to 3-year-old children was applied. The parents of the control group would go to early education clinic to learn how to train children by the doctor's instruction when the infants were born and in the 1st, 3rd, 6th, 9th, 12thmonth after birth. It was required that the parents should complete the training tasks of everyday, at the same time, the growth of physical build as well as the development of behaviors should be followed up and monitored.MAIN OUTCOME MEASURES: Development quotients in the 3rd, 6th, 9thand 12th month of both experimental and control groups.RESULTS: The average values of five developmental quotients in adaptability, gross motor, fine motor, language and sociability in the experimentalgroup were higher than those in the control group. Moreover, there were statistical differences in fine motor and social communication between the two groups from the 3nd month. When in the 12th month, there were significant differences in adaptability(97 +5, 89 +4), fine motor(98 + 10, 88 ± 8),language (98 ± 7, 89 + 8) and social communication(102 ± 7, 95 ± 10) respectively between the experimental and control group( t = 2.839-5.719,P ＜ 0.01 ) besides the existing significant difference in gross motor(91 ± 8,86±10)(t =2.022, P ＜0.05).CONCLUSION: Early interventions play a favourable role in promoting the infancy behavior development among premature and low birth body mass infants, the earlier the implementation of early intervention the better effects there were.关键词
婴儿,早产/婴儿,出生时低体重/儿童发育分类
医药卫生引用本文复制引用
谭钊安,童梅玲,黄萍,邓静云,胡幼芳,张俊珍..早期干预对早产儿和低出生体质量儿婴儿期行为发育的影响[J].中国临床康复,2004,8(15):2992-2993,2.基金项目
江苏省教委自然科学基金项目(99KJD320009) （99KJD320009）
