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目的探讨产科、新生儿科、儿童保健康复科共同协作早期干预对早产儿体格发育及智力的影响。方法2011年1月至2013年10月在九江市妇幼保健院产科出生,儿童保健科随访就诊的早产儿1142例作为研究对象(除外先天畸形和遗传代谢性疾病),分为观察组和对照组。观察组为该院出生多学科协作管理,早期教育的基础上强化按摩、体操、动作、主动运动训练、定期随访,出现异常者早期进行综合康复治疗的早产儿;对照组出生后未主动进行早期干预,随访过程中出现异常情况再进行康复治疗。结果 6个月、1岁、1岁半及2岁时观察组早产儿的体重生长、智力发育指数(MDI)和运动发育指数(PDI)均高于对照组(P<0.05)。结论多学科早期共同干预可以促进早产儿体格和智力发育,并改善其预后。
Objective To investigate the effects of obstetrics, neonatology and child health and rehabilitative interventions on the physical development and intelligence of premature infants. Methods From January 2011 to October 2013, 1142 premature infants who were born in the obstetrics and gynecology department of MCH hospital of Jiujiang city were followed up (except for congenital malformations and genetic metabolic diseases) and divided into observation group and control group . The observation group was premature infants who had undergone comprehensive rehabilitation treatment at an early stage after the birth of the observation group. The control group was born early and did not take the initiative after the birth Intervention, follow-up during the abnormal situation and then rehabilitation. Results At 6 months, 1 year, 1 year and a half years old and 2 years old, the weight growth rate, mental development index (MDI) and motor development index (PDI) of the observation group were higher than those of the control group (P <0.05). Conclusions Multidisciplinary early intervention can promote the physical and mental development of premature infants and improve their prognosis.