Effect of family physician services on infants’ growth and development
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摘要:
目的 探讨家庭医师服务模式对婴幼儿生长发育的影响。 方法 选取在我院进行定期门诊体检的婴儿400例,随机分成对照组和干预组,每组200例,干预组接受家庭医师服务模式干预措施至18月龄,对照组接受传统儿童保健门诊服务至18月龄。记录两组婴幼儿1、3、6、9、12和18月龄时身长和体质量,用Gesell发育诊断量表对两组婴幼儿1、18月龄进行测试,记录两组婴幼儿1、18月龄时营养性疾病发病情况。 结果 干预组婴幼儿6、12和18月龄时身长和体质量显著高于对照组婴幼儿,差异有统计学意义(P<0.05)。干预组18月龄时婴幼儿各能区发育商值均显著高于对照组婴幼儿(P<0.05)。干预组18月龄时蛋白质-能量营养不良及缺铁性贫血发病率均显著低于对照组婴幼儿(P<0.05)。 结论 家庭医师服务模式促进了婴幼儿的身心发育,降低了婴幼儿营养性疾病的发病,值得在国内进行推广。 Abstract:Objective To investigate the effect of family physician services on infants’ growth and development. Methods 400 infants who had received regular physical examination in our hospital were included and randomly divided into the control group and the experimental group (n=200). Infants in the experimental group received family physician services while subjects in the control group received traditional physical examination service, both till the age of 18 months. Body length and weight at the 1st, 3rd, 6th, 9th, 12th and 18th month and morbidity of nutritional disorders at the 1st and 18th month were recorded. What’s more, infants were tested with Gesell developmental schedules at the 1st and 18th month. Results Body length and weight at the 6th, 12th and 18th month were higher in the experimental group than that in the control group (P<0.05). The development quotient in intelligence fields was higher in the experimental group than that in the control group (P<0.05). Moreover, the morbidity of protein-energy malnutrition and iron deficiency anemia in the experimental group were lower than that in the control group (P<0.05). Conclusion Family physician services could promote infants’ growth and development and reduce the morbidity of nutritional disorders, thus is worth popularizing in China. -
Key words:
- family physician /
- infant /
- growth and development
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表 1 两组婴幼儿一般资料比较(Mean±SD)
组别 性别(n) 出生身长(cm) 出生体质量(kg) 孕周 父母年龄(岁) 男 女 父 母 对照组 101 99 50.09±1.01 3.23±0.25 39.41±0.97 28.5±4.7 25.3±4.4 干预组 102 98 50.18±0.97 3.27±0.31 39.57±1.12 29.1±5.2 25.9±4.8 表 2 两组患者身长和体质量比较(Mean±SD)
组别 1月龄 3月龄 6月龄 12月龄 18月龄 身长(cm) 体质量(kg) 身长(cm) 体质量(kg) 身长(cm) 体质量(kg) 身长(cm) 体质量(kg) 身长(cm) 体质量(kg) 对照组 54.75±2.02 3.36±0.41 62.46±3.31 6.71±0.81 67.57±3.05 8.14±1.01 75.85±2.88 9.82±1.05 82.34±3.11 11.38±1.41 干预组 54.83±1.94 3.39±0.49 62.88±3.13 6.81±0.72 68.21±2.98* 8.36±1.18* 76.59±3.01* 10.11±1.43* 83.18±3.32* 11.71±1.38* *P<0.05vs 对照组. 表 3 两组婴幼儿Gesell评定各能区DQ值比较(Mean±SD)
组别 1月龄 18月龄 适应性 大运动 精细动作 语言 个人-社交 适应性 大运动 精细动作 语言 个人-社交 对照组 114.11±29.13 111.48±26.41 124.51±31.31 103.48±19.69 90.14±20.59 99.13±10.42 101.41±12.61 100.96±13.49 99.59±10.84 98.59±9.93 干预组 118.03±31.23 107.94±29.67 119.91±33.22 106.11±21.98 93.27±21.14 102.48±11.14* 104.71±12.01* 104.59±9.12* 102.69±10.11* 103.13±11.73* *P<0.05vs 对照组. -
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