标题：社区儿童保健干预对婴幼儿早期发育的影响

      作者：叶晓丽，陈忠宁，刘中锋    (深圳市松岗人民医院全科，广东 深圳 518105)

      卷次： 2018年29卷11期

      【摘要】 目的 探讨社区儿童保健干预对婴幼儿早期发育的影响。方法 选取松岗人民医院 2015年 6月至 2016年 1月期间随访的 120例婴幼儿为研究对象，根据随机数表法分为两组，每组 60例，对照组常规定期体检，观察组应用社区儿童保健干预，随访至婴幼儿18个月。在其18个月时，比较两组婴幼儿的身高、体质量、头围及四种常见疾病的发生率，采用年龄与发育进程问卷中文版(ASQ-C)评价其神经行为和体格发育情况。结果 观察组婴幼儿的身长、体质量及头围分别为(82.57±3.18) cm、(11.95±1.02) kg、(46.93±1.67) cm，ASQ-C评分为(254.21±12.64)分，明显高于对照组的(81.23±2.26) cm、(11.01±0.84) kg、(46.01±1.39) cm、(246.38±10.48)分，差异均有统计学意义(P<0.05)；观察组婴幼儿营养性贫血、肺炎和腹泻的发生率分别为5.00%、8.33%、30.00%，均明显低于对照组的16.67%、20.00%、58.33%，差异有统计学意义(P<0.05)。结论 社区儿童保健干预用于婴幼儿可有效提高其生长发育水平，降低常见病的发病率，促进儿童保健事业的发展。
      【关键词】 儿童保健；社区；早期发育；影响；常见病
      【中图分类号】 R72 【文献标识码】 A 【文章编号】 1003—6350（2018）11—1603—03

Effect of community health care intervention on early development of infants.
YE Xiao-li, CHEN Zhong-ning, LIUZhong-feng. Department of General Surgery, Songgang People's Hospital of Shenzhen, Shenzhen 518105, Guangdong,CHINA
【Abstract】 Objective To explore the effect of community health care intervention on early development of in-fants. Methods A total of 120 infants, who were followed up in Songgang People's Hospital of Shenzhen from June2015 to January 2016, were selected and divided into the two groups according to random number method, with 60 casesin each group. The control group received regular physical examination, and the observation group was treated withcommunity child health care intervention. The infants were followed-up until they were 18 months old. During the18-month follow-up, height, weight, head circumference and the incidence of four common diseases were compared,and the neurological behavior and physical development were evaluated according to the Ages and Stages Question-naire Chinese Version (ASQ-C). Results The height, weight, head circumference, ASQ-C score in the observationgroup were respectively (82.57±3.18) cm, (11.95±1.02) kg, (46.93±1.67) cm, (254.21±12.64), which were significantlyhigher than corresponding (81.23±2.26) cm, (11.01±0.84) kg, (46.01±1.39) cm, (246.38±10.48) in the control group (P<0.05); the incidence of infant nutritional anemia, pneumonia and diarrhea in the observation group were 5.00%, 8.33%,30.00%, respectively, which were significantly lower than corresponding 16.67%, 20.00%, 58.33% in the control group(P<0.05). Conclusion Community health care intervention for infants can effectively improve their growth and devel-opment, reduce the incidence of common diseases, and promote the development of children's health care.
      【Key words】 Child care; Community; Early development; Influence; Common diseases·临床经验·doi:10.3969/j.issn.1003-6350.2018.11.038