母乳性黄疸对远期智能的影响  

Breast milk jaundice of the impact of long-term intelligence

作　　者：吴晓萍[1] 钱巍 

机构地区：[1]南京中医药大学附属张家港医院儿科,215600 [2]张家港妇保所儿保科

出　　处：《中国优生与遗传杂志》2010年第9期125-126,134,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的研究无高危因素的小儿母乳性黄疸对远期智能影响,指导母乳性黄疸的临床治疗。方法无高危因素的母乳性黄疸60例,分两组,一组29例,停母乳喂养,改人工喂养,记录黄疸消退时间;一组31例,予停母乳喂养,改人工喂养,以光疗,口服辅助药物等综合治疗;再取无高胆红素血症的对照组45例。3组小儿相同的随访和早教,一岁时由专业人员做婴儿智能测试,用CDCC量表测定智力发育指数(MDI)和运动发育指数(PDI)。结果 3组小儿在一岁时的智能无显著差异,无一例显示语言听力异常。结论无高危因素的母乳性黄疸对远期智能影响不大,可以适当放宽因黄疸而治疗的指征。Objective：To study the risk factors of non-breast milk jaundice in children the impact on the long-term intelligence to guide the clinical treatment of breast milk jaundice.Methods：Of non-breast milk jaundice risk factors in 60 cases,divided into two groups,a group of 29 cases,stop breast-feeding,change of artificial feeding,record jaundice time;a group of 31 cases,I stopped breastfeeding,artificial feeding changed in order to light therapy,oral supplement and so a comprehensive treatment;and then to take no-hyperbilirubinemia group 45 cases.3 groups of children the same follow-up and Early Learning,a baby at the age of intelligent testing done by professionals,using CDCC scale determination of mental development index（MDI） and motor development index（PDI）.Results：Three groups of children at one year old intelligence was no significant difference,with no display language hearing abnormalities.Conclusion：No risk factors for breast milk jaundice little impact on the long-term intelligence can be relaxed because of the appropriate indication for treatment of jaundice.

关 键 词：母乳性黄疸 远期智能 CDCC量表 

分 类 号：R722.17[医药卫生—儿科]