【目的】 探讨神经行为发育监测和早期教育及干预在儿童保健系统管理中的重要作用,为建立儿保更新模式提供依据。 【方法】 分别将同期出生的46名正常新生儿和46名高危儿随机分为新模式组和对照组,新模式组的正常儿和高危儿除常规模式儿保外,定期进行神经行为发育监测和早期教育及干预。对照组只做常规模式儿保。各组均在3、6月和1岁时用Gesell婴幼儿发育量表进行发育商(developmental quotient,DQ)的测评。 【结果】 1)3月、6月和1岁时,高危新模式组5个能区的DQ逐步提高,到1岁时明显高于高危对照组,差异有统计学意义(P＜0.01);并已达到正常对照组水平。2)生后3月时,正常新模式组的DQ 与正常对照组差异无统计学意义(P＞0.05);到6月和1岁,正常新模式组5个能区的DQ明显高于正常对照组,差异有统计学意义(P＜0.01)。 【结论】 将神经行为发育监测和早期教育及干预纳入常规儿保中的更新模式,可以促进婴幼儿智能发育,利于儿童早期发展。

【Objectives】 To investigate the important function of neurobehavioral developmental monitoring and early education and intervention within the systematic management of child health care,and to provide a basis for the establishment of a newer model of child health care. 【Methods】 Forty-six normal newborns and forty-six high-risk newborns,who were born in the same period,were randomly divided into a new model group and a control group.For the normal and high-risk newborns within the new model group,beside the conventional model of child health care,regular monitoring of neurobehavioral development and early education and intervention were also carried out.For the control group only the conventional model of child health care was carried out.For each group (equally) at 3,6 months,and 1 year,a development quotient (DQ) assessment was carried out using the Gesell's Infant Development Schedule. 【Results】 1)At 3,6 months and 1 year,the DQ of the five ability areas had improved gradually for the high-risk newborns of the new model group.At 1 year they were evidently higher than the high-risk newborns of the control group.The difference had a degree of statistical significance (P<0.01).The DQ had already reached the level of the normal control group.2)Three months after birth,the DQ of the normal new model group and the normal control group showed no obvious difference (P>0.05).At 6 months and 1 year,the DQ of the 5 ability areas of the normal new model group were evidently higher than the normal control group,the difference showed a degree of statistical significance (P<0.01). 【Conclusion】 The newer model of bringing neurobehavioral developmental monitoring and early education and intervention into the systematic management of conventional child health care can promote the intellectual development of infants,and is beneficial for early childhood development.