目的 探讨适用于顺义区高危儿早期干预管理模式。方法 规范管理后,根据患儿就诊的方便程度和家长的意愿,将高危儿分为干预管理组和干预对照组,同时在儿童保健门诊随机选取60例常规体检的正常儿童作为正常对照组,1岁时均采用Gesell发育量表测评;规范管理前后比较:高危儿的建档率、6个月和12个月的随访率。结果 除正常对照组与管理组比较,在大运动、精细动作和平均发育商差异无统计学意义外(P＞0.05),其余各能区的每组两两比较差异均有统计学意义(P＜0.05);规范管理前后比较:高危儿的建档率、6个月和12个月的随访率,差异有统计学意义(P值均＜0.05)。 结论 系统的规范管理高危儿,是提高其建档率、随访率和干预效果的重要途径。

Objective To investigate suitable management model of early intervention on the high-risk neonates in Shunyi district. Methods According to conveniences of children and hopes of parent,all high-risk neonates were divided into intervention management group and intervention control group,at the same time random selected 60 cases (n=60) of the normal children health examination in department of child health care as normal control group.All the babies were measured using Gesell developmental scale when they were one year old;and compared before and after the standardize management:high-risk creates file rate,follow-up rate in 6 and 12 months old. Results In addition to the normal control group and management group comparison,in the big movement,fine movement and average development quotient,differences were not statistically significant (P>0.05),and the rest comparisons differences of the every two two groups were statistically significant (P<0.05);the comparison before and after the standardize the management:after standard management,high-risk neonates creates file rate,6 months,and 12 months of follow-up rate,the differences were statistically significant (P<0.05). Conclusion System standard management of high-risk is important way to improve its filing rate,follow-up rate and the intervention effect.