ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (3): 275-276.doi: 10.3969/j.issn.1674-3865.2019.03.028

• 调查研究 • 上一篇    

26 230例0～24月龄婴幼儿神经心理发育影响因素分析

徐丽，徐演文，李刘英   

  1. 528200 广东 佛山，佛山市南海区妇幼保健院护理部（徐丽），儿童保健科（徐演文，李刘英
  • 出版日期:2019-06-25 发布日期:2019-07-04
  • 通讯作者: 徐丽，E-mail:576381531@qq.com
  • 作者简介:徐丽（1981-），女，主管护师。研究方向：中医护理在孕产妇儿童保健中的应用

Analysis of the factors influencing neuropsychological development of 26 230 infants and children aged 0 to 24 months

XU Li, XU Yanwen, LI Liuying.   

  1. Nanhai Maternal and Child Healthcare Hospital, Foshan 528200,China
  • Online:2019-06-25 Published:2019-07-04

PDF (PC)

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摘要： 目的
了解0～24月龄婴幼儿神经心理发育水平及规律。
方法
用《０～６岁儿童神经心理发育量表》对2016年5月至2018年4月我院儿童保健科的0～24月龄婴幼儿26 230例进行发育商检测（大运动、精细运动、适应能力、语言和社交行为５个能区），探讨影响婴幼儿神经心理发育的主要危险因素。
结果
0～24月龄婴幼儿总发育迟缓率为2.15%，多重线性回归分析显示儿童性别、早产、出生体质量、出生身长、体检月龄、体质量增加量、身高增加量对发育商的影响均具有统计学意义（P<0.05）；出生体质量与早产、出生体质量与出生身长、体检月龄与体质量增加，体检月龄与身高增加交互效应对发育商影响存在统计学意义（P<0.05）；自变量影响程度分析发现体检月龄、身高增加、月龄与身高、性别、体质量增加对发育商影响较大。
结论
婴幼儿生命早期营养状况对发育商影响重大，儿童保健工作一定要充分关注婴幼儿早期的营养干预；进行发育商影响因素分析一定要考虑儿童自身生长及因素间的交互作用。

关键词: 神经心理发育, 发育商, 体质量, 身高, 婴幼儿

Abstract: Objective
To learn about the level and the rules of neuropsychological development of infants and children aged 0 to 24 months.
Methods
The Neuropsychological Development Scale for Children Aged 0 to 6 Years was used to make development quotient(DQ) testing(gross motor, fine motor, adaptability, language and social behavior), in order to study the main risk factors that influence the neuropsychological development of infants and children.
Results
The total growth retardation rate was 2.15% in the infants and children aged 0 to 24 months. The multiple linear regression analysis showed that the following factors influenced the DQ, which included gender, premature delivery, body mass at birth, body length at birth, age(months) at physical examination and increase in body mass and body length(P<0.05). The interaction between body mass at birth and premature delivery, body mass at birth and body length at birth, age(month) at physical examination and increase in body mass, and age(month) at examination and increase in body length also had influence on DQ(P<0.05). The analysis of the influencing degree of independent variables revealed that age(month), increase in height, age (month) and height, gender and increase in body mass had greater influence on DQ.
ConclusionThe early stage nutrition in infants and children has significant influence on the development quotient. The healthcare work for children must pay great attention to the nutritional intervention at the early development in infants and children. When analyzing the factors influencing DQ, the interactions between the child's growth and development and those factors must be taken into account.

Key words: Neuropsychological development, Development quotient, Body mass, Height, Infants and children