网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
晚期早产儿神经发育预后及影响因素分析
作者:孙彦香  
单位:深圳市南山区妇幼保健院
关键词:晚期早产儿 神经发育 发育商 危险因素 
分类号:
出版年·卷·期(页码):2015·43·第四期(424-427)
摘要:

【摘要】目的:对比分析晚期早产儿及正常足月儿间神经发育情况差异,探讨影响晚期早产儿神经发育异常的相关因素。方法:选取2011年5月~2012年7月间于我院妇产科分娩成功的晚期早产儿134例及同期正常分娩足月儿100例为研究对象,以问卷调查形式统计各儿童的一般资料并采用《0 ~6 岁小儿神经心理发育量表》进行发育商测试;同时采用 Logistic 回归分析筛选影响晚期早产儿神经发育的危险因素。结果:除适应性及社会行为两项外,晚期早产儿组的大运动、精细动作、语言评分及DQ评分均显著降低(P<0. 05);晚期早产儿组出现神经发育异常者9例,发生率为6.72%,较对照组(1.00%)显著升高(P<0.05);多因素Logistic回归分析发现,晚期早产儿神经发育异常与极低出生体重、低血糖、母亲文化程度低密切相关。结论:晚期早产儿作为不良神经预后的高危人群,其神经发育水平较正常足月儿显著降低;极低出生体重、低血糖、父母文化程度低是影响其神经发育的主要因素。

Abstract Objective To analyze the differences of the neurodevelopmental situation between late preterm infants and normal full-term infants and explore the factors affecting neurodevelopment abnormalities of late preterm children. Methods 134 cases late preterm infants and 100 cases normal full-term infants were selected for study in our hospital during May 2011 - July 2012, and then General Information questionnaire and “0 to 6 years old children neuropsychological development scale” were performed to evaluate the neurodevelopment situation, meanwhile the risk factors affecting neurodevelopment of late preterm children were analyzed by Logistic regression analysis. Results except for the adaptability and social behavior, gross motor, exiguous action and language score of late preterm infants were significantly lower than that in control (P<0 05). In Late preterm children group, 9 cases occurred neurodevelopmental abnormalities, and the rate was 6.72%, which was significantly higher than that in control (1.00%) (P<0.05). Multivariate logistic regression analysis found that very low birth weight, low blood sugar, low educational level of parents had a great relationship with neurodevelopmental abnormalities in the late preterm infants. Conclusion As a high risk of poor neurological outcome, neurological level of late preterm infants were significantly lower than normal full-term children; very low birth weight, low blood sugar, low education level of parents were a major factor affecting their neurological development.

参考文献:
服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 751396 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541