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目的探讨社区早期综合发展对早产儿体格和智能发育的影响。方法将在广州市越秀区矿泉街社区卫生服务中心儿童保健科建卡的103例早产儿以家长知情同意为原则分为干预组(51例)和对照组(52例),干预组开展早期综合发展服务,对照组按广州市高危儿管理要求进行基础保健,分别于纠正6月龄时进行体格测量和智能发育评估,用SPSS19.0软件进行χ2检验、t检验等统计学分析。结果纠正6月龄时,干预组和对照组早产儿的身长、体质量、头围和前囟分别做比较,差异均无统计学意义(P>0.05);大运动、精细动作、适应能力及语言能区、全量表分和发育商的比较,干预组优于对照组,差异均有统计学意义(P<0.05);社交行为能区比较,差异无统计学意义(P=0.454)。结论早期综合发展服务能明显促进纠正6月龄内早产儿的智能发育,但对其体格发育无明显促进作用,长远影响有待进一步研究。
Objective To explore the impact of community early comprehensive development on physical and intellectual development of premature infants. Methods According to the principle of informed consent of parents, 103 premature infants who were undergone card construction in Children Health Section of Mineral Spring Street Community Health Service Center in Yuexiu District of Guangzhou were divided into intervention group (n = 51) and control group (n = 52) Developmental services. The control group was given basic health care according to the management of high-risk children in Guangzhou. Physical fitness and intelligent development assessment were performed at the correct 6-month-old. Chi-square test and t-test were used for SPSS19.0 software. Results At 6 months of age, there was no significant difference in body length, body weight, head circumference and anterior fontanel between intervention group and control group (P> 0.05) (P <0.05). There was no significant difference in social activity area (P = 0.454) between the two groups. The difference was statistically significant (P = 0.454). Conclusion Early comprehensive development service can significantly promote the correct development of 6-month-old premature children’s intelligence development, but no significant promotion of their physical development, the long-term impact remains to be further studied.