足月高危儿36月龄内的发育状况调查分析  

Investigation of development status of full-term high-risk infants in 0-36 months

作　　者：罗庆满 李芬 何丹[2] LUO Qing-Man;LI Fen;HE Dan(Family Planning Service Center of Maternal and Child Health Care in Dazhu County,Dazhou,Sichuan 635100,China)

机构地区：[1]大竹县妇幼保健计划生育服务中心,四川达州635100 [2]达州市中心医院,四川达州635000

出　　处：《中国妇幼保健》2020年第16期3081-3084,共4页Maternal and Child Health Care of China

摘　　要：目的探讨0~36月龄足月高危儿的临床特点及Gesell发育量表和行为发育量表的评估情况,重视足月高危儿早发现、早筛查、早诊断、早干预。方法抽取2015年在该院新生儿科住院的418例足月高危儿组成第1组;抽取同期在该院儿保科登记管理的289例足月高危儿组成第2组;抽取同期该院儿保科管理的500例散居足月儿组成第3组,其中有24例失访,最终为476例。分析3组足月儿的临床特点及Gesell发育量表和行为发育量表评估情况。结果对3组足月儿进行调查研究发现,随着其月龄的增长,其肌张力、睡眠、吐奶、黄疸、语言、粗大运动、精细运动、个人-社会、注意力缺陷多动症、孤独症均呈较好的趋势发展。在36月龄时,第1组有8例患儿发育异常,占比为19.13‰(8/418);第2组有7例,占比为24.22‰(7/289);第3组有4例,占比为8.40‰(4/476);第3组发育异常患儿占比均低于第1组与第2组,组间比较,差异无统计学意义(P>0.05)。结论随着足月高危儿的月龄增长,其肌张力、睡眠、吐奶、黄疸、语言、粗大运动、精细运动、个人-社会、注意力缺陷多动症、孤独症均呈较好的趋势发展,临床上应对足月高危儿积极采取有效的干预措施,指导其在较短时间内迅速恢复。Objective To investigate the clinical features of full-term high-risk infants in 0-36 months and the evaluation of Gesell Developmental Scale,and to pay attention to early detection,early screening,early diagnosis and early intervention of full-term high-risk infants. Methods 418 full-term high-risk infants who hospitalized in the neonatology department from January 2015 to December 2015 were selected as the first group. 289 full-term high-risk infants who registered in the department of children healthcare during the same period were selected as the second group. 500 scattered full-term infants managed by the department of children healthcare during the same period were selected as the third control group,of which 24 cases were lost to follow-up,and the final number was 476. The clinical features of three groups of full-term infants and the evaluation of the Gesell Developmental Scale were analyzed. Results A study of three groups of full-term infants found that,as the age increased,the muscular tension,sleep,milk regurgitation,jaundice,language,gross movement,fine movement,individual-society,attention deficit hyperactivity disorder,and autism showed a good trend. At 36 months,there were 8 cases of abnormal development in the first group,accounting for 19. 13‰( 8/418);There were 7 cases in the second group,accounting for24. 22‰( 7/289);There were 4 cases in the third group,accounting for 8. 40‰( 4/476);The abnormal development rate of the third group was lower than that of the first group and the second group,and the difference between groups was not statistically significant( P >0. 05). Conclusion With the increase of the age of full-term high-risk infants,their muscular tension,sleep,milk regurgitation,jaundice,language,gross movement,fine movement,individual-society,attention deficit hyperactivity disorder,and autism have all shown good trends. Clinically,it is necessary to actively take effective intervention measures for full-term high-risk infants,so as to guide them to recover in a short time.

关 键 词：高危儿 足月 临床特点 运动发育指数 行为发育 

分 类 号：R722.1[医药卫生—儿科]