孕期和分娩因素与儿童多动症的相关性  

The risk factors on the children's attention deficit-hyperactivity disorder in mothers' pregnancy and labor period

作　　者：高宇[1] 邓小虹[2] 

机构地区：[1]暨南大学第二附属医院,广东深圳518020 [2]北京市卫生局

出　　处：《中国妇幼保健》2008年第14期1935-1937,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨孕期、分娩因素对儿童多动症发病的影响。方法:抽取北京妇产医院1994年1～12月分娩的226例剖宫产及181例正常产的病历,对母亲孕、产期情况进行回顾性分析,并对其子女进行多动症的检测。结果:对母亲孕、产期各种合并症及分娩方式与儿童多动症的发生进行单因素、多因素回归分析,其中剖宫产、胎儿宫内窘迫、胎儿宫内发育迟缓3种因素与儿童多动症的发生有显著相关性(P<0.05)。结论:剖宫产、胎儿宫内窘迫及胎儿宫内发育迟缓是儿童多动症发生的危险因素,其患多动症的可能性显著高于无此因素的儿童。研究结果表明,在孕、产期积极纠正胎儿宫内窘迫和胎儿宫内发育迟缓,避免不必要的剖宫产,可减少儿童多动症的发生率。Objective： To find out the risk factors on the ehildren＇s attention deficit -hyperactivity disorder （ADHD） in mothers＇ pregnancy and labor period. Methods： 226 eases of cesarean section and 181 cases of natural labor admitted in Beijing Obs ＆ Gyneeol Hospital from Jan. to Dee. 1994 were analyzed retrospectively. Different mental psychological examinations were used to detect the children＇s ADHD of those eases. Results： Either the single factor or multi -factor logistic regression analysis of all possible risk factors in mother＇s pregnancy and labor period to the ehildren＇s ADHD showed that the cesarean section, fetal distress and intrauterine growth retardation （IU- GR） had the significant relation with the ehildren＇s ADHD （P 〈 0. 05 ） . Conclusion： Cesarean section, fetal distress and IUGR are the risk factors of the children＇s ADHD. The result of this study suggests that to treat the fetal distress and IUGR with the vigorous measures and avoid unnecessary cesarean section would reduce the morbidity of children＇s ADHD.

关 键 词：儿童多动症 剖宫产 胎儿宫内窘迫 胎儿宫内发育迟缓 智商 

分 类 号：R748[医药卫生—神经病学与精神病学]