摘要
目的探究社区内0~3岁高危儿早期干预服务的现状及其相关因素。方法选取2015年1月-2018年11月期间深圳市龙岗区南湾街道内的高危儿140例,分为研究组和对照组,每组各70例。对两组高危儿进行调查其中研究组高危儿进行过早期干预,对照组高危儿未进行干预,并进行随访,观察记录两组高危儿的基本情况。结果研究组高危儿干预后运动发育指数(PDI)明显高于对照组高危儿(P<0.05);研究组高危儿干预后智力发育指数(MDI)明显高于对照组高危儿(P<0.05);在干预后,研究组的QQL评分(食欲、精神、睡眠以及疲乏)高于对照组(P<0.05)。结论通过对高危儿进行现况调查并采一定的干预措施对高危儿的健康成长具有重要意义。由于家族或遗传、母亲因素、妊娠、围产期等一些不良因素的存在,尤其是二胎政策下,高龄产妇的增加,高危儿出生率逐年增长,在0~3岁对其进行早期干预是最有利的时期,能够有效降低儿童肢体、智力等发育迟缓的情况,减轻社会和家庭的总体负担,提高儿童健康水平,值得进一步推广和应用。
Objective To explore the status quo and related factors of early intervention services for high-risk children aged 0-3 years in the community.Methods 140 cases of high-risk infants in Nanwan Street,Longgang District,Shenzhen City from January,2015 to November,2018 were selected and divided into two groups,i.e.study group and control group,with 70 cases in each group.The two groups of high-risk infants were investigated.The high-risk infants in the study group received early intervention,while the high-risk infants in the control group did not receive intervention,and follow-up was conducted to observe and record the basic situation of the two groups of high-risk infants.Results The motor development index(PDI)of high-risk infants in the study group was significantly higher than that in the control group(P<0.05).The intelligence development index(MDI)of high-risk infants in the study group was significantly higher than that in the control group(P<0.05).QQL scores(appetite,energy,sleep and fatigue)were higher in the study group than in the control group after intervention(P<0.05).Conclusion It is of great significance to investigate the current situation of high-risk infants and take some intervention measures for their healthy growth.Due to family or genetic factors,mother,the existence of some adverse factors such as pregnancy,perinatal,especially under the two-child policy,the increase of elderly parturient women,high-risk infants birth rate increased year by year,the age of 0~3 for early intervention is the most favorable period,in which the children’s physical and mental retardation can be effectively reduced,the burden of the overall social and family be lightened,and the level of children’s health be risen.So it is worth further promotion and application.
作者
万里晴
严华茗
邓俊彪
WANG Li-qing;VAN Hua-ming;DENG Jun-hiao(Pediatric Department,The Fourth Affiliated Hospital of Longgang District,Shenzhen,Guangdong,518114,China)
出处
《黑龙江医学》
2020年第1期50-53,共4页
Heilongjiang Medical Journal
基金
深圳市龙岗区经济与科技发展专项资金医疗卫生科技计划项目（LGKCYLWS2018000043）
关键词
高危儿
早期干预
现状调查
相关因素
High-risk infant
Early intervention
Status survey
Related factor
