首都医科大学学报 ›› 2021, Vol. 42 ›› Issue (2): 334-337.doi: 10.3969/j.issn.1006-7795.2021.02.029

• 临床研究 • 上一篇    下一篇

6月龄婴儿神经心理发育现状及相关危险因素分析

鲍玲, 任军爽, 王蕊   

  1. 北京市大兴区妇幼保健院儿童保健部,北京 102600
  • 收稿日期:2020-11-26 发布日期:2021-04-26

Study and analysis of neuropsychological development status and related risk factors in infants aged 6 months

Bao Ling, Ren Junshuang, Wang Rui   

  1. Department of Child Health Care, Beijing Daxing District Maternal and Child Health Care Hospital, Beijing 102600, China
  • Received:2020-11-26 Published:2021-04-26

摘要: 目的 了解6月龄婴儿神经心理发育状况,分析不同性别发育差异及相关危险因素。方法 采用首都儿科研究所监制的0~6岁儿童神经心理发育量表对1 470例门诊婴儿进行测查,用发育商评估,对测查结果进行分析。结果 本次共调查1 470名婴儿,其中男婴781例,女婴689例,性别比为1.13∶1,平均月龄均为(6.12±0.24)个月。其中发育商低下不同性别6月龄婴儿神经心理发育状况差异有统计学意义(P<0.05),同时在精细动作、适应能力及社交行为能区上差异均有统计学意义(P<0.05);其得分情况均表现为男婴显著低于女婴;多因素Logistic分析显示,发育商偏低的婴儿中,出生胎龄(OR=14.215)越小及孕期伴有其他高危因素(OR=4.738)的婴儿,发生迟缓的可能性越大,发育商低下的婴儿,性别为男孩(OR=5.061)、出生胎龄越小(OR=80.604)及孕期伴有其他危险因素(OR=5.673)的婴儿发生迟缓的可能性大。结论 男婴发育商低下较女婴突出,在精细动作、适应能力及社交行为3个能区表现明显,出生胎龄小、孕期伴有其他高危因素及男婴为6月龄婴儿神经心理发育异常的危险因素。

关键词: 婴儿, 神经心理发育, 危险因素, 发育商低下

Abstract: Objective To understand the neuropsychological development of infants at 6 months of age, and to analyze the developmental differences between different genders and related risk factors.Methods The neuropsychological development scale of 0-6 years old children supervised by Capital Institute of Paediatrics was used to measure 1 470 out-patient infants, and the test results were analyzed with developmental quotient assessment. Results A total of 1 470 infants were investigated in this study, including 781 male infants and 689 female infants, with a sex ratio of 1.13∶1 and average monthly age of (6.12±0.24) months. Among them, there were differences in the neuropsychological development of infants of different genders at6 months of age (P<0.05), with statistical significance. At the same time, there were significant differences in fine movement, adaptive ability, and social behavior energy area (P<0.05). The scores of boys were significantly lower than those of girls. Multifactorial logistic analysis showed that low developmental quotient of babies, born gestational age (OR=14.215), the smaller and pregnancy associated with other risk factors babies (OR=4.738), the possibility of delay, the greater the infants with low developmental quotient, gender is a boy (OR=5.061), the smaller the gestational age of birth (OR=80.604) and pregnancy associated with other risk factors (OR=5.673) possibility of slow baby. Conclusion Male infant development quotient is more prominent than that of female infants, showing significant performance in the three functional areas of fine movement, adaptability and social behavior, small gestational age,other high-risk factors associated with pregnancy, and the risk factors of abnormal neuropsychological development in infants aged 6 months.

Key words: infant, neuropsychological development, risk factors, low developmental quotient

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