目的 通过分析早期综合发展服务结合亲子园活动对早产儿体格和智能发育的影响,探索通过社区和家庭促进早产儿体格和智能发育的方法。方法 采用前瞻性队列研究的方法,将2011年10月1日-2012年9月30日在广州市越秀区矿泉街社区卫生服务中心儿童保健科健康体检的232例早产儿按家长意愿分为3个干预组[早期综合发展服务组(Ⅰ组)、亲子园活动组(Ⅱ组)、早期综合发展服务结合亲子园活动组(Ⅲ组)]和1个对照组[基础保健组(Ⅳ组)],追踪随访至纠正12月龄,分别于纠正3、6、12月龄时进行体格和智能发育评估和比较。结果 纠正12月龄时,Ⅰ组与Ⅱ组、Ⅰ组与Ⅳ组、Ⅲ组与Ⅳ组、Ⅲ组与Ⅱ组体重、身长差异有统计学意义(P<0.05),Ⅰ组与Ⅲ组、Ⅱ组与Ⅳ组体重、身长差异无统计学意义(P>0.05);纠正6、12月龄时,Ⅰ组与Ⅳ组除社交行为能区差异无统计学意义(P>0.05)外,其余各能区及发育商差异均有统计学意义(P<0.05);Ⅱ组与Ⅳ组智能发育各能区及发育商差异均有统计学意义(P<0.05);Ⅲ组与Ⅳ组智能发育各能区及发育商差异均有明显统计学意义(P<0.01)。结论 早期综合发展服务结合亲子园活动对早产儿的体格和智能发育均有明显的促进作用。

Objective To analyse the influences of integrated early child development services combined with parent child paradise on the physical and intelligent developments of premature infants,and explore ways to promote the physical and intelligent development of premature infants through community and family. Methods Using the methods of prospective cohort study,232 cases of premature infants with health examinations were checked in the child healthcare department of Kuangquan street community health service center in Yuexiu district of Guangzhou city from October 1,2011 to September 30,2012,were divided into 3 intervention groups[the integrated early child development services group (group Ⅰ),the parent child paradise services group (group Ⅱ),the integrated early child development services combined with parent child paradise services group (group Ⅲ)] and 1 control group[basic health services group (group Ⅳ)] in accordance with their parents' intend,and followed up to the correction of age of 12 months.All the premature infants were measured and compared the physical and the intelligent development levels in the correction of age of 3 months,6 months and 12 months. Results In the correction of age of 12 months,there were statistically significant differences in the physical development between group Ⅰ and group Ⅱ,group Ⅰ and group Ⅳ,group Ⅲ and group Ⅳ,group Ⅲ and group Ⅱ,but no statistically significant difference between group Ⅰ and group Ⅲ,group Ⅱand group Ⅳ.In the correction of age of 6 months or 12 months,there was statistically significant difference in intelligent development (except for the part of social behavior) between group Ⅰ and group Ⅳ(P<0.05),there was statistically significant difference in intelligent developments between group Ⅱ and group Ⅳ (P<0.05),there was obvious statistical significance difference in intelligent development between group Ⅲ and group Ⅳ (P<0.01). Conclusion Integrated early child development services combined with parent child paradise services could significantly improve the physical and intelligent development of premature infants.