婴幼儿智能发育筛查分析  

Screening and analysis of infants intelligence development

作　　者：陈中群[1] 唐章华[1] 罗雪[1] 饶小红[1] 

机构地区：[1]泸州医学院附属医院儿童保健科,四川泸州646000

出　　处：《泸州医学院学报》2015年第2期189-192,共4页Journal of Luzhou Medical College

摘　　要：目的：了解0~6岁婴幼儿智能发育状况及影响其发育的因素。方法：0~6岁发育筛查测验（简称DST）对就诊婴幼儿1165名进行测评。结果：高危儿216名中MI和（或）DQ异常172名（异常发生率79.6%），可疑28名（13.1%），正常16名（7.5%）；非高危儿949名中MI和（或）DQ异常416名（异常发生率43.8%），可疑260名（27.3%），正常273名（28.7%）。城市婴幼儿总人数521名，农村儿童总人数644名。城市婴幼儿按父母学历和职业，依次：初中工人，初中个体，高中工人，高中个体，大学个体，大学教师公务员建筑师，其MI异常发生率为：42.3%,38.7%,19.5%,13.7%,8.9%,15.7%；DQ异常发生率为42.3%,41.5%,14.6%,13.7%,11.1%,22.2%。农村婴幼儿按父母学历和职业，依次：小学农民，初中农民，高中农民，高中个体，其MI异常发生率为：85.3%,67.4%,36.1%,46.7%；DQ异常发生率为：91.4%,72.8%,36.1%,45.1%。结论：本测试智能水平城市婴幼儿优于农村，智能发育与父母亲从事的职业、文化程度、以及各种高危因素如难产、早产、低出生体重、出生窒息、高胆红素血症等密切相关。提高人口素质，重视早期教育，定期检查，早发现、早干预，以最大限度提高智力、运动、社会、适应行为发育的水平程度。Objective： To evaluate the intelligence development status and influencing factors of 0 ~ 6 years old infants. Methods： 1156 infants seeking medical advice in outpatient department were evaluated by 0 ~ 6 years old developmental screening test （DST）. Results： In 216 high-risk infants, MI and/or DQ abnormal 172 （abnormal rate 79.6%）, suspicious 28 （13.1%）, and normal 16 （7.5%）. In 949 non-high-risk infants, MI and/or DQ abnormal 416 （abnormal rate 43.8%）, suspicious 260 （27.3%）, and normal 273 （28.7%）. Urban infants 521, rural infants 644. urban infants whose parent＇s job and education level were：worker with junier middle school level,individual entrepreneur with junior middle school level,worker with senior middle school level, individual entrepreneur with senior middle school level,individual entrepreneur with college level, and university teacher, goverment employee or architect, the incidence of abnormal MI was： 42.3%, 38.7%, 19.5%, 13.7%, 8.9% and 15.7%. DQ abnormal rate was 42.3%, 41.5%, 14.6%, 13.7%, 11.1% and 22.2% respectively Rural infants whose parent were farmer with primary shool level, farmer with junior middle school level,farmer with senior middle school level,and individual entrepreneur with senior middle school level, the incidence of abnormal MI was：85.3%, 67.4%, 36.1%, and 46.7%. DQ abnormal rate was： 91.4%, 72.8%, 36.1% and 45.1% respectively. Conclusion： The intelligent level of urban infants is better than that of rural infants, parents＇ occupation, education level and various risk factors such as dystocia, premature birth, low birth weight, birth asphyxia, hyperbilirubinemia are closely related to Intelligence development. The improvement of population quality, emphasis of basic education, regular screening, early detection and early intervention are the measures to improve children＇s intelligence.

关 键 词：婴幼儿 0~6岁发育筛查 影响因素 早期干预 智能发育 

分 类 号：R72[医药卫生—儿科]