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目的分析扬州地区婴儿智能发育及其影响因素,为促进婴儿早期智能发育提供理论依据。方法对2010年至扬州市妇幼保健院儿保科接受健康检查的1 222例婴儿进行发育筛查试验(Develpmental Screening Test,DST)。设计调查问卷,收集婴儿的一般家庭资料及其胎儿期、出生时、出生后的健康状况。通过χ2检验、logistic回归分析等统计方法,分析婴儿发育状况及其影响因素。结果①调查中发现婴儿发育异常和可疑率分别为6.0%和29.5%;运动、社会适应及智力能区发育落后比例分别为48.0%、35.8%和26.1%,差异均有统计学意义(P<0.01)。②单因素和多因素分析发现,对婴儿智能发育影响有统计学意义的变量为新生儿期患病、母孕期患病及婴儿月龄,OR值分别为3.000、1.925和1.379。结论扬州地区婴儿智能发育状况一般,运动发育落后明显。婴儿在新生儿期患病与其母孕期患病是影响其智能发育的最重要因素。
Objective To analyze infant intelligence development and its influencing factors in Yangzhou area and provide theoretical basis for promoting infant early intelligence development. Methods Develpmental Screening Test (DST) was performed on 1,222 infants admitted to the Department of Pediatrics of the MCH in Yangzhou City in 2010. Design a questionnaire to collect general family information of infants and their prenatal, postnatal and postnatal health status. By χ2 test, logistic regression analysis and other statistical methods, analysis of infant development status and its influencing factors. Results ① The abnormalities and suspicious rates of infants were found to be 6.0% and 29.5% respectively in the survey, and 48.0%, 35.8% and 26.1% in motor, social adaptation and intelligence areas, respectively, with statistical significance (P < 0.01). (2) Univariate and multivariate analysis showed that the variables that had a significant effect on the infant’s mental development were the prevalence of neonatal disease, the prevalence of maternal pregnancy and the age of infancy, with OR values of 3.000, 1.925 and 1.379 respectively. Conclusions Infant intelligence development in Yangzhou is normal and the motor development is obviously backward. Infants in the newborn period ill with their mothers during pregnancy is the most important factor affecting their intellectual development.