摘要
【目的】 了解早产儿婴幼儿期体格智能发育的情况 ,并对影响其智能发育和预后的因素进行分析。 【方法】 对中山大学附属第一医院 1996～ 2 0 0 0年出生的 2 91例早产儿在婴幼儿期进行体格智能发育测试 ,并对所有小儿作常规体格检查 ;采用婴幼儿智能发育测验手册 (CDCC)进行智能和运动测试 ,得出智能发育指数 (MDI)及运动发育指数 (PDI) ;并分析各种相关因素。 【结果】 研究对象中体格发育及智能运动发育落后率较高 ,且发生脑瘫等残疾率高 ;脑瘫患儿在围生期均有引起脑缺氧损伤的严重疾患 ;多因素分析结果显示围生期疾患的严重程度、胎龄、父母文化程度以及早期干预与MDI和PDI有相关关系。 【结论】 早产儿婴幼儿期智能运动发育落后的比例较高且致残率高 ,与围生期损伤神经系统的高危因素密切相关 ,早期干预可促进智能及运动发育。应重视早产儿智能和运动发育的观察 ,做好定期随访工作 ,及早进行干预康复治疗 。
To make physical and mental intelligent derelopment for getting growth message and analyzing the factors influenced intelligent development of preterm infants. 291 preterm infants born in 1996～2000 were followed up inour department with review medical records of these preterm infants the prenatal data were collected. By scale of child development center of china (CDCC). mental development index (MDI) and psychomotor developmental index (PDI) were checked in these babies. The data were arranged and analyzed with SPSS 10.0. Rates of delayed physical,mental and motor developments were high in preterm infants. The children with cerebral palsy (CP) had significant mental and motor retardation.Multiple analysis showed the severity of neonatal disease, gestational age, parents'educational level and early intervention were related to MDI and PDI scores. [Conclusions] The rate of delayed physical and mental development is high in the preterm. Incidence of handicaps especially CP is also high.The occurrence of cerebral palsy is closely related to the perinatal high risk factors,which causes nervous system lesions.Early intervention can promote mental and motor development.
出处
《中国儿童保健杂志》
CAS
2004年第1期43-45,共3页
Chinese Journal of Child Health Care
关键词
早产儿
体格发育
智能发育
随访
预后
preterm
physical development
mental development
follow up
prognosis
