小于胎龄儿气质和发育筛查的研究  

Research of temperament and development in small for gestational age.

作　　者：熊菲[1] 杨凡[1] 

机构地区：[1]四川大学华西第二医院儿童保健科,四川成都610041

出　　处：《中国儿童保健杂志》2006年第6期625-627,共3页Chinese Journal of Child Health Care

摘　　要：【目的】探讨小于胎龄儿（small for gestational age，SGA）的气质和发育情况及其二者的关系，为高危儿童的早期医疗干预提供一些理论依据。【方法】采用Carey气质问卷评定6～7月龄SGA儿童的气质，12月龄时，以DST评价SGA儿童的智力、运动和社会适应能力，选择适于胎龄儿（appropriate for gestational age，AGA）作为对照组。【结果】SGA组消极型气质类型的检出率高于AGA组，且SGA组发育商可疑者的检出率高于AGA组。SGA组中，难于抚养气质的婴儿智力指数和发育商得分均比易于抚养气质的婴儿低；多元逐步回归分析显示，影响智力发展的主要因素是节律性和反应阈值，表现为节律性好和反应阈值高有利于智力的发展。【结论】SGA在婴儿期即表现出一定的气质特点，且对婴儿时期的智力、运动、社会适应能力可能产生了一定的作用，根据其气质特点进行早期干预以提高智能等发育水平。[Objective] To investigate the correlation of the temperament and development of children born with small for gestational age（SGA）. [Methods] Carey＇s Revised Infant Temperament Questionnaire （RITQ） was used to assess the temperament of the SGA at 6 to 7 months and DST was used to test the intelligence,moter and adaption development at 12 months. The appropriate for gestational age（AGA） was selected as control. [Results] RITQ showed that the negative temperment groups of SGA was higher than that of AGA. The incidence of doubtful development of SGA was higher than that of AGA. Mental index （MI） and developmental quotient （DQ） was higher in infants with positive temperament than those with negative temperament in SGA. As shown by step wise regression analyses, MI was correlated with high rhythm and high threshold. [Conclusions] It seems that SGA can exhibit the temperament in infant. There is correlation between temperament and intelligence. More appropriate ways in education according to the characteristics of temperament maybe potentially benefit the intelligence development of SGA.

关 键 词：气质 小于胎龄儿 发育 

分 类 号：R179[医药卫生—妇幼卫生保健]