新生儿低血糖对学龄前期儿童气质及行为发育的影响

发布时间：2018-06-27 20:54

本文选题：新生儿低血糖症 + 学龄前期　；参考：《医学研究生学报》2017年08期

【摘要】：目的新生儿低血糖症是新生儿期常见的代谢性疾病,少数患儿可出现神经系统后遗症。文中探讨新生儿低血糖症患儿在学龄前期的神经心理行为发育情况。方法采用中国学龄前儿童气质量表和Conners父母用症状问卷对安徽省儿童医院新生儿科自2009年3月至2013年5月期间35例确诊为新生儿低血糖症患儿(低血糖组)进行评估,同时收集纳入对象的围产期、临床资料以及家庭环境信息;同时随机抽取同期50例健康新生儿(对照组)进行对比研究。结果低血糖组与对照组儿童均主要为“易养型气质”和“中间偏易养型气质”;低血糖组儿童的气质维度中趋避性与对照组比较差异有统计学意义(P0.05);低血糖组儿童行为问题总检出率为24%,表现为学习问题和心身问题,与对照组儿童行为比较差异有统计学意义(P0.05)。结论新生儿低血糖症影响学龄前期儿童的行为发育,应根据其气质和行为发育特点采取个体化的临床治疗和教育干预。
[Abstract]:Objective: neonatal hypoglycemia is a common metabolic disease in neonates, and a few children may have neurological sequelae. The neuropsychological behavior development of hypoglycemia neonates in pre-school age was studied. Methods 35 neonates with hypoglycemia (hypoglycemia group) were assessed by Chinese Preschool temperament scale and Conners' parents symptom questionnaire from March 2009 to May 2013 in the Neonatrics Department of Anhui Children's Hospital. Perinatal period, clinical data and family environmental information were collected, and 50 healthy neonates (control group) were randomly selected for a comparative study. Results the children in hypoglycemia group and control group were mainly "easy to nourish temperament" and "middle easy to nourish temperament". There was significant difference in the temperament dimension between hypoglycemia group and control group (P0.05); the total detection rate of behavior problems in hypoglycemic children was 24, showing learning problems and psychosomatic problems. There was significant difference in behavior between children and control group (P0.05). Conclusion Neonatal hypoglycemia affects the behavior development of preschool children, and individualized clinical treatment and educational intervention should be taken according to their temperament and behavioral development characteristics.
【作者单位】：安徽省儿童医院新生儿科;
【分类号】：R179

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