关键词: 早期干预, 早产, 全身运动, 儿童发育

Abstract: Objective To investigate the significance of early intervention in very low birth weight infants (VLBWI) treated in neonatal intensive care unit (NICU). Methods The hospital dates of 81 VLBWI from January 2014 to October 2015 were divided into two groups,intervention group (40 cases) and the control group (41 cases).In the intervention group,infants were nursed through NIDCAP and intervened by training of stimulation and physical before their discharge.Their parents learned the intervention measure by the Wechat group and the school about premature.The follow-up were performed by telephone once a week after their discharge.In control group,infants were nursed with the routine intervention and followed up.At 44 weeks gestational age,the indicator of their physical development and GMs were investigated and compared. Results At 44 weeks gestational age,there was no significant difference (P<0.05) in weight and length;No statistically significant was found in head circumference.Comparing the GMs of the two groups,the intervention group had higher occurrence of normal general movements (33 cases vs.22cases).In contrast,the intervention group had lower occurrence of poor repertoire general movements (5 cases vs.12 cases) and cramped-synchronized general movements (2 cases vs.7cases).The difference was statistically significant (P<0.05). Conclusions In NICU,early intervention in VLBWI can improve the prognosis of VLBWI.   

Key words: early intervention, preterm, general movement, child development