上海市静安区12月龄婴儿丹佛发育筛查及其智能发育相关因素分析

发布时间：2018-06-13 08:13

本文选题：丹佛发育筛查测试 + 危险因素　；参考：《上海交通大学学报(医学版)》2017年09期

【摘要】：目的·了解社区儿童早期发育情况并探究影响婴幼儿发育的危险因素。方法·采用整群抽样的方法,对上海市静安区常住12月龄儿童行丹佛发育量表筛查。运用Logistic回归分析探究儿童智能发育影响因素。结果·该调查共收集样本4 102例,抽检异常率为1.0%,可疑异常率为4.3%。Logistic回归分析结果显示低出生体质量(OR=6.24,95%CI 1.69~22.98,P=0.006)、头围偏小(OR=5.22,95%CI 1.20~22.84,P=0.031)、母亲高龄(OR=3.61,95%CI 1.32~9.84,P=0.012)、存在脑损伤史(OR=3.96,95%CI1.55~10.10,P=0.003)是筛查出现异常结果的危险因素。Spearman秩相关分析显示,母乳喂养时长(0~12月)与筛查可疑异常结果呈负相关(ρ=-0.031,P=0.046)。结论·应重视婴儿早期发育筛查和干预,特别是针对母亲为高龄产妇、非正常出生体质量、头围偏小及存在产前或新生儿期高危因素的儿童。母乳喂养有助于降低发育不良结果的检出率。
[Abstract]:Objective: to understand the early development of children in the community and to explore the risk factors affecting the development of infants. Methods the method of cluster sampling was used to screen the Denver development scale of 12 month old children in Jingan District, Shanghai. The influence factors of children's intelligence development were analyzed by Logistic regression analysis. The results were collected in 4102 cases. The abnormal rate was 1%, and the suspicious abnormal rate was 4.3%.Logistic regression analysis showed low birth weight (OR=6.24,95%CI 1.69~22.98, P=0.006), small head circumference (OR=5.22,95%CI 1.20~22.84, P=0.031), mother age (OR=3.61,95%CI 1.32~9.84, P=0.012), and the history of brain injury (OR=3.96,95%CI1.55~10.10, P=0.003) was an abnormal knot in screening. The risk factors of.Spearman rank correlation analysis showed that the long (0~12 months) of breastfeeding was negatively correlated with the results of screening suspected abnormality (P =-0.031, P=0.046). Conclusion attention should be paid to early infant development screening and intervention, especially for mothers of older mothers, abnormal birth weight, small head circumference and high risk of prenatal or neonatal period. Breast feeding can help reduce the detection rate of dysplastic children.
【作者单位】：上海交通大学附属儿童医院儿童保健科;上海第四康复医院儿童保健科;
【基金】：国家自然科学基金(81670810) 上海市科学技术委员会医学引导类项目(14411965200) 上海申康医院发展中心临床科技创新项目(SHDC12015305);上海申康医院发展中心常见疾病适宜技术研发与推广应用项目(16CR4018A)~~
【分类号】：R174

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