Study on curative effect on early intervention for different gestational age children with global developmental delay

ZHOU Yuan; LIU Zhen-huan; ZHANG Ma-lan; CAI Shu-ying

doi:10.11852/zgetbjzz2017-25-06-31

PDF(536 KB)

Chinese Journal of Child Health Care ›› 2017, Vol. 25 ›› Issue (6) : 643-645. DOI: 10.11852/zgetbjzz2017-25-06-31

Orignal Article

Study on curative effect on early intervention for different gestational age children with global developmental delay

ZHOU Yuan¹, LIU Zhen-huan², ZHANG Ma-lan¹, CAI Shu-ying¹

Author information +

History +

Abstract

Objectives To study the difference of the curative effect on early intervention for different gestational age children with global developmental delay. Methods A total of 73 infants with global developmental delay were selected and divided into two groups by gestational-age,premature group(28~37 weeks gestational-age)35 cases,term-infant group( more than 37 weeks gestational-age) 38 cases.Two groups received regular early intervention.The Gesell Developmental Scales(DQ)were tested before and 4 months after the treatment designed. Results 1)After 4 months early intervention,two groups both had significant superiority in improving the DQ of all five fields (P<0.05).2)Before the intervention,term-infant group had significant superiority than the premature group in the DQ of all five fields (P<0.05).3)After 4 months early intervention,term-infant group had significant superiority than the premature group in the DQ of social adaption,fine movement,language,personal association fields (P<0.05) and had a close level in the DQ of gross motor function(P>0.05). Conclusion Early intervention has definite curative effect for different gestational-age children with global developmental delay,especially on the development of gross-motor function.

Key words

early intervention / global developmental delay / premature infants / term infants

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

ZHOU Yuan, LIU Zhen-huan, ZHANG Ma-lan, CAI Shu-ying. Study on curative effect on early intervention for different gestational age children with global developmental delay[J]. Chinese Journal of Child Health Care. 2017, 25(6): 643-645 https://doi.org/10.11852/zgetbjzz2017-25-06-31

References

[1] Flora LA,Milunky JM.Updates in the genetic evaluation of the child with global developmental delay or intellectual disability[J].Semin Pediatr Neurol,2012,19(4):173-180.
[2] American Psychiatric Association.Diagnostic and statistical manual of mental disorders:fifth edition [M].Arlington VA:American Psychiatric Publishing,2013.
[3] 徐艳红,李静,唐久来.儿童全面性发育落后的高危因素、临床特征和预后[J].中华实用临床儿科杂志,2016,31(10):783-786.
[4] 唐久来.常见中枢性运动发育落后/障碍的规范化诊断[J].中国儿童保健杂志,2013,21(7):673-675.
[5] 赵勇,邵银进,赵伊黎,等.中药浴配合推拿治疗痉挛型脑瘫患儿踝关节活动障碍的临床观察[J].中医儿科杂志,2006,2(6):45-46.
[6] 赵志霞.综合干预疗法治疗小儿脑损伤综合征的疗效观察[J].中国实用神经疾病杂志,2016,19(11):73-74.
[7] 岑丽婷,刘振寰.通督醒脑益肾健脾按摩对脑损伤早产儿神经发育影响的观察[J].中国儿童保健杂志,2012,20(12):1064-1066.
[8] 胡继红,郭春光,周平秋,等.早期作业治疗对全面性发育迟缓患儿认知发育的影响[J].中国康复杂志,2016,31(4):261-263.
[9] 刘俊梅.超声扫描脑血管系统治疗小儿脑瘫疗效分析[J].山西职工医学院学报,2009,19(1):43.
[10] 刘振寰,张丽红,赵勇,等.五行体感音乐对痉挛型脑性瘫痪患儿肌张力的影响[J].中国康复理论与实践,2013,19(8):771-774.
[11] 刘维民,鲍秀兰,马磊,等.早期干预降低极低出生体重儿脑瘫发生率的临床研究[J].中国儿童保健杂志,2015,23(4):360-363.
[12] 彭桂兰,刘虹,丁德琴,等.300 例婴儿脑损伤综合征干预效果分析[J].中国妇幼保健杂志,2002,27(2):214-215.
[13] 赵萍,周春梅,廖火生,等.早期干预对改善新生儿缺氧缺血性脑病患儿智力发育的研究[J].临床儿科杂志,2002,16(1):9-11.
[14] Vohr BR.Neurodevelopmental outcomes of extremely preterm infants[J].Clinics in Perinatology,2014,41(1):241-255.
[15] 黄海燕.早产儿神经系统发育结局的研究进展[J].中国儿童保健杂志,2016,24(2):153-155.
[16] 蔡淑英,彭桂兰,胡恕香,等.低出生体质量儿早期综合干预的疗效观察[J].中国康复杂志,2014,29(5):373-374.
[17] Kerstjens JM,de Winter AF,Bocca-Tjeertes IF,et al.Developmental delay in moderately preterm-born children at school entry[J].The Journal of Pediatrics,2011,159(1):92-98.
[18] 刘秀梅,初清.晚期早产儿神经发育预后及影响因素分析[J].中国新生儿科杂志,2012,27(4):232-236.
[19] Anderson PJ.Doyle LW.Cognitive and educational deficits in children born extremely preterm[J].Semin Perinatol,2008,32:51-58.
[20] Lind A,Parkkola R,Lehtonen L,et al.Associations between regional brain volumes at term-equivalent age and development at 2 years of age in preterm children[J].Pediatric Radiology,2011,41(8):953-961.