婴儿先天性心脏病智力和精神运动发育及其影响因素  

Analysis of mental and psychomotor developmental retardation and the factors to influence on them in infants with congenital heart disease

作　　者：王晓航[1] 吴珍[1] 莫绪明[2] 李晓南[3] 王松[2] 李荣[3] 赵卫华[3] 

机构地区：[1]南京大学医学院,江苏省210000 [2]南京医科大学附属南京儿童医院心胸外科 [3]南京医科大学附属南京儿童医院儿保科

出　　处：《江苏医药》2013年第2期187-190,共4页Jiangsu Medical Journal

摘　　要：目的探讨先天性心脏病(CHD)婴儿智力及精神运动发育状况及可能影响因素。方法采用贝利婴幼儿发展量表(BSID)对125例CHD婴儿进行评估,分析影响智力及运动发展的相关因素。结果 125例婴儿中,智力落后患儿44例(35.2%),经多元回归分析,紫绀与其显著相关(OR=3.462,95%CI=1.438-8.334);精神运动发育滞后患儿69例(55.2%),经多元回归分析,低出生体重(OR=6.836,95%CI=1.438-32.497)、紫绀(OR=2.498,95%CI=1.008-6.189)与其显著相关。结论紫绀对CHD婴儿智力及精神运动发育有显著影响。Objective To investigate the mental and psychomotor developmental retardation and the factors to influence on them in infants with congenital heart disease（CHD）. Methods Bayley Scales of Infant Development（BSID） was used to evaluate the mental and psychomotor developmental retardation and the factors to influence on them in 125 infants with CHD. Results Of CHD infants,44（35.2%） infants had mental retardation,to which cyanosis was significantly correlated（OR=3.462,95%CI=1.438-8.334） and 69（55.2%） infants had psychomotor retardation,to which low birth weight（OR=6.836,95%CI=1.438-32.497） and cyanosis（OR=2.498,95%CI=1.008-6.189） were significantly correlated. Conclusion Cyanosis has a significant affect on the mental and psychomotor developmental retardation in infants with CHD.

关 键 词：先天性心脏病 婴儿 智力及精神运动发育 

分 类 号：R179[医药卫生—妇幼卫生保健]