难产手术儿智能发育调查

• 作 者: 张建平 何秀琼 韦薇 刘新质 邝健全
• 机 构: 中山医科大学孙逸仙纪念医院妇产科,中山医科大学孙逸仙纪念医院妇产科,中山医科大学孙逸仙纪念医院妇产科,中山医科大学孙逸仙纪念医院妇产科,中山医科大学孙逸仙纪念医院妇产科
• 出 处: 中山医科大学学报
• 发表日期: 1990年04期
• 关键词: 顺产儿 宫内发育迟缓 新生儿窒息 筛选检查 正常出生体重儿 新生儿重度窒息 智能发育 发育异常 染色体检查 胎儿宫内窘迫

用丹佛发育筛选检查法(DDST)调查1215例1～5 11/12岁的各种难产手术儿智能发育,随机取同期顺产儿466例作对照,手术产儿DDST正常1205例(99.2％)、可疑1例(0.1％)、异常9例(0.7％),顺产儿DDST正常464例(99.6％)、可疑1例(0.2％)、异常1例(0.2％)。结果表明手术产儿DDST可疑和异常与顺产儿无显著差异(P>0.5),小儿智能发育异常与新生儿重度窒息差异非常显著(P<0.005),IUGR小儿DDST异常明显多于正常出生体重儿(P<0.005)。本文还对DDST异常儿进行原因分析及探讨。

DDT was used to investigate the intelligence development of 1215 infants with various dystocia between the ages of 1 and 5 years and 11 and 12 years old. 466 of them were randomized to receive routine DDST, and 1205 (99.2%) patients with normal DDST were suspicious 1 case (0.1%), abnormal 9 cases (0.7%), normal DDST 464 cases (99.6%), suspicious 1 case (0.2%) and abnormal case 1 (0.2%). The results showed that there was no significant difference between suspicious and abnormal DDST (P> 0.05), abnormal intelligence development in infants and severe asphyxia in newborns (P <0.005), abnormal DDST in IUGR infants was more than that in normal birth weight infants P <0.005). This article also analyzes the cause of DDST abnormal children and discusses.