论文部分内容阅读
目的:了解晚期早产儿的智能发育情况及其影响因素,为早期干预提供理论依据。方法:选取本院200例晚期早产儿作为早产组,另选择同期100名足月生产的婴儿作为对照组,采用盖塞尔婴幼儿智能评估量表评估其智力发展水平,并分析影响晚期早产儿智力发展的危险因素。结果:200例晚期早产儿的发育商平均分为(94.5±6.7)分,大运动、精细动作、语言、社会行为和适应性5个方面的异常率分别为9.00%、10.00%、8.50%、8.50%和9.00%。经多因素Logistic回归分析发现,极低出生体重(OR=2.235)、低血糖(OR=2.002)、双亲文化程度(OR=0.750)与晚期早产儿智力发育情况间有显著相关性(P<0.05)。结论:晚期早产儿是智力发育异常的高危人群,应给予更多关注,而进行科学、合理的早期干预和神经行为评估有利于其神经系统的发展。
Objective: To understand the intelligence development of late preterm children and its influencing factors, providing a theoretical basis for early intervention. Methods: 200 cases of premature infants in our hospital were selected as preterm group. Another 100 full term infants were selected as control group. The intelligence level of infants and young children was evaluated by using the Geisel Infant Assessment Scale. The influence of preterm infants Risk factors for intellectual development. Results: The average developmental quotient of 200 preterm infants with late onset was (94.5 ± 6.7) points, and the rates of abnormal movement in 9 cases were 9.00%, 10.00% and 8.50% respectively in large movement, fine movement, language, social behavior and adaptability. 8.50% and 9.00%. Logistic regression analysis showed that there was a significant correlation between low birth weight (OR = 2.235), hypoglycemia (2.002), educational level of two parents (OR = 0.750) and intelligence development in advanced preterm infants (P <0.05) ). Conclusion: The late premature infant is a high risk population with abnormal mental development. More attention should be paid to it. Scientific and reasonable early intervention and neurobehavioral assessment are beneficial to the development of the nervous system.