【目的】 探索适用于社区高危儿筛查、监测和干预的管理模式。 【方法】 建立高危儿社区监测网络,由高危儿筛查、登记、监测、转诊、康复治疗等环节构成高危儿管理程序,对辖区高危儿自生后进行定期监测随访。随即抽取340例高危儿分为系统干预组和非系统干预组,定期评估其神经运动发育及智能发育情况,采用t检验、χ²检验进行统计学分析。 【结果】 济南市高危儿社区管理覆盖率达94.44%。系统干预组智能发育评估各能区发育商明显高于非系统干预组,而神经运动发育异常率明显低于非系统干预组。 【结论】 建立社区高危儿监测网络,制定适合社区的高危儿监测与干预模式,对高危儿系统干预至少到2岁是提高群体儿童心理发育,降低儿童脑瘫和智力残疾发生的关键。

【Objective】 To explore the management pattern applys to high risk infants in community screening,monitoring and intervention. 【Methods】 High risk infants monitoring network was established.Management program included screening,registering,monitoring,referral and rehabilitation.When children were born,community physicians were responsible for there screening,monitoring and referral.340 high risk infants were divided into system intervention group and non system intervention group,their neuromotor development and intellectual development were regular assessed.T-test and χ²-test were used for statistical analysis. 【Results】 High risk infants community management coverage was up to 94.44%.System intervention group developmental quotient was obvious higher and neuromotor abnormalities was significantly lower than non system intervention group. 【Conclusion】 The key to improve children's psychological development and reduce cerebral palsy and intellectual disability was to establish high risk infants community monitoring network and formulate intervention system apply to community.