围生期经历COVID-19疫情居家隔离对婴儿神经精神发育的近期影响  

Recent impact of COVID-19 pandemic home quarantine on infant neuropsychiatric development during perinatal period

作　　者：马腹婵 张晶 杨露露 彭咏梅 MA Fuchan;ZHANG Jing;YANG Lulu;PENG Yongmei(Department of Child Healthcare,Shanghai Maternal and Child Health Center,Shanghai 200062,China)

机构地区：[1]上海市妇幼保健中心儿童保健科,上海200062

出　　处：《教育生物学杂志》2023年第5期364-367,372,共5页Journal of Bio-education

基　　金：上海市卫生健康委员会面上课题(201940499)。

摘　　要：目的探讨围生期经历新型冠状病毒肺炎(COVID-19)疫情的居家隔离对婴儿神经精神发育的近期影响。方法选取2021年10月至2022年1月出生的177名2月龄婴儿为对照组,2022年3月底至7月出生119名2月龄婴儿为实验组。实验组婴儿在围生期经历COVID-19疫情期间的居家隔离事件。运用年龄与发育进程问卷,从沟通、粗大动作、精细动作、解决问题、个人-社会5个能区对2组婴儿在2月龄时的神经精神发育情况进行评估和比较。结果实验组和对照组婴儿发育迟缓率分别为7.56%和6.78%,差异无统计学意义(P>0.05)。实验组婴儿沟通能区得分及女婴的粗大动作能区得分显著低于对照组,差异有统计学意义(P<0.05),2组间问卷总分及其他能区得分的差异无统计学意义(均P>0.05)。结论围生期经历COVID-19疫情居家隔离对婴儿沟通能区和女婴粗大动作能区的发展可能产生一定的近期负面影响,应给予积极的干预。Objective To analyze recent impact of COVID-19 pandemic home quarantine on infant neuropsychiatric development during the perinatal period.Methods Infants aged 2 months born from October 2021 to January 2022 were selected as the control group(n=177),and infants aged 2 months born from March to July 2022 were selected as the experiment group(n=119).The infants in the experiment group experienced the COVID-19 pandemic home quarantine.The neuropsychiatric development of the infants the of two groups at the age of 2 months was compared by using the age and stage questionnaires from five functional areas,including communication,gross motor,fine motor,solving problem,and person-society.Results The incidence rates of neuropsychological development retardation in the experiment group and the control group were 7.56%and 6.78%,with no significant difference(P>0.05).The scores of communication and female infants’gross motor in the experiment group were significantly lower than those of the control group(P<0.05).There were no significant differences among other functional areas’scores and the total score of infants in both groups(P>0.05).Conclusion The COVID-19 pandemic home quarantine during the perinatal period has certain negative impact on the communication and female infants’gross motor skills.Positive intervention measures should be given.

关 键 词：新型冠状病毒肺炎 神经精神发育 年龄与发育进程问卷 围生期 婴儿 

分 类 号：R741[医药卫生—神经病学与精神病学]