低出生体重儿远期听力、视力与智力随访研究

• 作 者: 李强 刘运广 黄月艳
• 机 构: 右江民族医学院附属医院儿科
• 出 处: 实用医学杂志
• 发表日期: 1999年08期
• 关键词: 低出生体重儿 远期 听力 视力 智力

目的：探讨低出生体重儿（ＬＢＷ）远期听力、视力及智力发育情况。方法：对４６例ＬＢＷ在４～８５岁时进行随访，以４０例同龄正常出生体重儿（ＮＢＷ）作对照，检测听力、视力与智商（ＩＱ）。结果：ＬＢＷ远期听力、视力及ＩＱ异常率分别为１９５６％、２６０８％和１９５６％，均高于对照组（Ｐ＜００５），且出生体重越低，其异常率越高，虽然ＬＢＷ的听力、视力及ＩＱ随年龄增长而有所改善，但仍低于同龄对照组（Ｐ＜００５）。结论：ＬＢＷ远期视力、听力与智力发育水平低于同龄ＮＢＷ，其异常率高于ＮＢＷ，必须定期进行随访，采取干预措施以提高ＬＢＷ生存质量。

Objective: To investigate long-term hearing, visual acuity and mental development of low birth weight infants (LBW). Methods: Forty-six cases of LBW were followed up from 4 to 8.5 years old. Listening, visual acuity and IQ were measured in 40 normal-birth-weight children (NBW) of the same age. Results: Long-term LBW hearing, visual acuity and IQ abnormalities were 1956%, 2608% and 1956%, respectively, which were higher than those in the control group (P <005) The higher the rate, LBW hearing, visual acuity and IQ improved with age, but still lower than the same age control group (P <0  05). Conclusion: The long-term visual acuity, hearing and mental development of LBW are lower than NBW of the same age. The abnormal rate of LBW is higher than that of NBW. The LBW must be followed up regularly and intervention measures should be taken to improve the quality of life of LBW.