目的 研究婴儿抚触对早产儿智能发育的影响,为早产儿综合干预提供参考依据。 方法 采用病例对照研究,选取坚持婴儿抚触的30例早产儿做为研究组,背景资料相似的因各种原因未坚持做婴儿抚触的33例早产儿做为对照组,进行纵向观察,使用小儿神经心理发育量表在纠正月龄6、12、24月龄时评估两组婴幼儿智能发育情况。 结果 纠正月龄6月龄时评估:两组大运动,适应能力两个能区发育商(developmental quotient,DQ)差异无统计学意义(P＞0.05),而研究组精细动作、语言、社交行为3个能区DQ值均高于对照组,差异有统计学意义(P＜0.01)。纠正月龄12月龄时评估:两组在大运动能区DQ差异无统计学意义,而研究组精细动作,适应能力、语言、社交行为4个能区,高于对照组,差异有统计学意义(P＜0.01)。纠正月龄24月龄时评估:研究组小儿在五大能区DQ值均明显高于对照组,差异具有统计学意义(P＜0.01)。 结论 早期坚持规范的婴儿抚触可提高早产儿智能发育。

Objective To investigate the influence of infants caress on intellectual development of premature infants and to provide the basis for comprehensive intervention of premature infants. Methods The study group consisted of 30 premature infants who persisted in normative infants caress.Control group consisted of 33 premature infants who had the similar background information with the study group and didn't persist in infants caress.Data were selected from the children's health care system in our department from January 2008 to December 2009.The longitudinal study was used to analyze the data.Utilize Beijing children mental development scales were used to dynamic evaluation the intellectual developments of the two groups. Results When corrective months were six months,there were no significant differences between two groups in two parts of DQ include gross motor and adaptation (P>0.05).However,the DQ values of sample group include fine motor,language,social behavior were higher than those of reference group.The differences had statistical significance (P<0.01).When corrective months was one year,there were no significant differences (P>0.05) between two groups in gross motor.However,the DQ values of sample group include adaptation,fine motor,language,social behavior were higher than those of reference group.The differences had statistical significance (P<0.01).When corrective months were two years,the values of five parts of DQ in sample group were all higher than those of reference group,especially,in parts of fine motor,language,social behavior.The difference had statistical significance (P<0.01). Conclusion Adhering to the normative infants caress on the early stage can improve premature intelligence development.