不同胎龄儿体格及智能发育的随访分析

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本文通过不同胎龄儿增长速度、喂养方式调查及智能随访、探索影响生长发育的内在因素。为预防提供理论依据。 临床资料 收集1987年1月~1990年12月资料全面的儿童81例。男39名,女42名。分成3组:早产儿25例(甲组),胎龄29~36周,体重1700~2400g;足月小样儿12例(乙组),胎龄37~41周,体重2000~2450g;足月新生儿44例(丙组),胎龄37~41.5周。体重2500~3300g。喂养方式:以4~6月为标准,母乳喂养33例。混合喂养24例,人工喂养24例。37例低体重儿(包拈早产儿及足月小样儿)中围产期有危险因素者占83.7%(31/37),学龄前表现多动者占5.41%(2/37),学习困难者占13.51%(5/37)。1~3岁时全部用丹佛智能筛查试验(以下简称DDST)进行发育筛查,其中30例在4~5.5岁分别作绘人试验、韦克斯勒智力测验(WPPSI),并使用北京医科大学主修的“婴儿—初中学生社会适应量表”评定儿童的社会适应能力。 In this paper, through the growth rate of different gestational age children, feeding methods and intelligent follow-up to explore the internal factors that affect growth and development. Provide a theoretical basis for prevention. Clinical data were collected from January 1987 to December 1990 with 81 children with complete data. 39 males and 42 females. Divided into 3 groups: 25 preterm infants (group A), gestational age 29 to 36 weeks, body weight 1700 ~ 2400g; full-term small sample of 12 cases (group B), gestational age 37 to 41 weeks, body weight 2000 ~ 2450g; 44 newborns (group C), gestational age 37 to 41.5 weeks. Weight 2500 ~ 3300g. Feeding methods: 4 to 6 months as the standard breast-feeding in 33 cases. Mixed feeding 24 cases, 24 cases of artificial feeding. Among 37 low-birth-weight infants (including preterm and term infants), 83.7% (31/37) had perinatal risk factors, 5.41% (2/37) had pre-school performance hyperactivity disorder, learning difficulties Accounting for 13.51% (5/37). At 1 to 3 years of age all were screened by Denver Intelligent Screening Test (hereinafter referred to as DDST), of which 30 were in the 4 to 5.5 years old were painted test, Wechsler Intelligence Test (WPPSI), and the use of Beijing Medical The “Baby-Junior High School Students Social Adaptation Scale” with a major in university evaluates children’s social adaptability.
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