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Rehabilitation Practice and Science

Translated Title

高危險性早產兒的早期介入治療：初步報告

Abstract

The survival rate of high-risk premature baby is increasing in recent years because of improvement in medical technology for newborn care. Unfortunately, since many of them were born with one or some risk factors, the incidence to complicate with developmental disability, learning disability, emotional or behavior problems will be higher than general population. We started early intervention program for the prematurity in PICU and SBR in Oct., 1990 especially for those high-risk prematurity who combined with one or more risk factors as below: birth weight less than 1500 gm, gestational age below 32 weeks, ventilator requirment, grade III or IV intracranial hemorrhage, abnormal muscle tone, seizure disorder, feeding dysfunction and neonatal asphyxia. Intervention program is individualized which includes therapeutic postioning, therapeutic handling, oral-motor therapy and parent education.Also, Morgan neurobehavior scale will be performed in medically stable premature baby to see the maturation and stability of central nervous system. Developemtnal screening and follow-up will be done at four, eight and twelve months old corrected age after discharge. Besides from detailed neurologic examination, movement assessment of infant, Bayley scale of infant development and Denver developmental screening teat are used to detect developmental disability during infancy. The baby will receive neurodevelopmental therapy immediately if there is any sign of developmental abnormality. Afterwards, yearly follow-up will be arranged until they reach school age and are doing well at school.

Language

Traditional Chinese

First Page

119

Last Page

124

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