干预治疗促进新生儿呼吸窘迫综合症患儿智能发育的研究
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【摘要】 目的：通过干预治疗提高新生儿呼吸窘迫综合症患儿的智力水平。方法：将103例新生儿呼吸窘迫综合症患儿随机分组为指导组(50例)和常规育儿组(51例)。正常对照组(53例)。干预治疗组新生儿呼吸窘迫综合症患儿从新生儿期开始接受智能早期干预治疗，常规育儿组新生儿呼吸窘迫综合症患儿不接受干预治疗，两组的围产期情况相似。结果：矫正年龄1岁半、2岁时干预治疗组精神发育指数(MDL)比常规育儿组平均高13.8和14.6(P<0.01),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11.5和8.9分(P<0.05)。其中智力低下4例(7.8%)(4/51)，干预治疗组中无一例智力低下。结论：干预治疗可以促进新生儿呼吸窘迫综合症患儿智能发育，有利于防治其智力低下。
【关键词】 新生儿呼吸窘迫综合症患儿；干预治疗；智力
Intervention for children with neonatal respiratory distress syndrome and development of intelligent
Green City People's Hospital pediatric Shirui Hua Diao a Hong Jiang De Red
【Abstract】Objective To improve the therapeutic intervention of children with neonatal respiratory distress syndrome level of intelligence. Methods 103 cases of neonatal respiratory distress syndrome were randomly assigned into steering group (50 cases) and routine care group (51 cases). The control group (53 cases). Intervention group children with neonatal respiratory distress syndrome receiving intelligence from the neonatal period beginning early intervention treatment, routine care group of children with neonatal respiratory distress syndrome does not accept the intervention, both groups were similar perinatal. Results corrected age 1 year and a half, the spirit of the age of 2 treatment group development index (MDL) than the routine care group, the average high of 13.8 and 14.6 (P <0.01), reached normal levels (P <0.05). The routine care group MDI lower than the normal control group were 11.5 and 8.9 points (P <0.05). 4 cases in which mental retardation (7.8%) (4 / 51), treatment group None of the mental retardation. Conclusion The intervention can contribute to neonatal respiratory distress syndrome in children with intellectual development, has contributed to the prevention of their mental retardation.
【Key words】Neonatal respiratory distress syndrome in children；Intervention；intelligence
国内资料表明新生儿呼吸窘迫综合症患儿发生率约为活产婴儿的5%，死亡率为12.7%~20.8%，存活者中留有不同伤残者约占10%~20%。人类在2岁以前是中枢神经系统发育最迅速、可塑性最强的时期，干预治疗能有利于新生儿呼吸窘迫综合症患儿的智力发育，防治其智力低下。因此，我们自2002年开始总结临床资料，现报告初步研究结果。
对象和方法
1对象
出生或就诊于青州市人民医院、潍坊市益都中心医院存活的健康新生儿呼吸窘迫综合症患儿，胎龄28~40周，按收治先后随机分配原则，单号为干预治疗组，双号为常规育儿组，同期正常新生儿为对照组(常规育儿方式)。至2009年3月为止，满1岁半~2岁(矫正年龄)者共156例，其中新生儿呼吸窘迫综合症患儿干预治疗组52例 ......
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