摘要
目的分析晚期早产儿(LPIs)社会生活适应能力状况及影响因素,提高对其发展的重视程度,预防远期不良的社会适应性行为。方法采取横断面研究方法,收集2013年10月至2015年10月出生,在西安市妇幼保健院建立早产儿管理档案的早产儿(LPIs组112例)和在早期发展门诊进行定期体检的健康足月儿(FTIs组179例)为研究对象。在满24～30月龄(纠正月龄)时,对两组儿童进行婴儿-初中学生社会生活能力量表(S-M)测评,比较两组儿童各能区差异,利用多元线性回归法分析LPIs社会生活适应能力发展的风险因素。结果 LPIs组S-M综合分数显著落后于FTIs组(t=-2.864,P<0.05),其中独立生活能力和运动能力均明显落后于FTIs组,差异均有统计学意义(t值分别为-7.321、-2.826,均P<0.05)。经多元线性回归分析,小胎龄、妊娠期高血压疾病、羊水少是S-M社会生活适应能力的危险因素(B值分别为0.199、1.160、-1.618,P值分别为0.050、0.020、0.021,95%CI分别为-0.004～0.403、0.185～2.135、-2.984～0.252),小胎龄是运动能力和交往的风险因素(B值分别为0.090、0.018,P值分别为0.046、0.041,95%CI分别为-0.002～-0.178、0.001～0.035)。结论 3岁前LPIs呈现落后的社会生活适应能力,发育性不成熟和围产期高危因素共同构成不良社会性发展的生物易感因素。因此应加强对LPIs社会生活适应能力发展的重视,减少远期社会-行为问题的发生。
Objective]To analyze the status of social adaptive capacity in late preterm infants(LPIs)and its related risk factors,so that more attention can be attracted for the prevention of future social behavioral problems.Methods Cross-sectional study was applied to collect 112 LPIs establishing management records in Xi’an Maternal and Child Health Hospital as LPIs group and 179 healthy full term infants(FTIs)taking regular check in early development clinic of the hospital as FTIs group.Estimation of Normal Development of Social Skills from Infants to Junior High School Children(S-M)was administrated to test the level of S-M in two groups at 24-30 months(corrected age).Risk factors to the social adaptive capacity were analyzed in LPIs by multiple linear regression analysis.Results The comprehensive score of S-M in LPIs group was statistically lower than in FTIs group(t=-2.864,P<0.05),and mean scores in independent living ability and sports ability were also significantly lower in LPIs group than in FTIs group(t value was-7.321 and-2.826,respectively,both P<0.05).Multiple linear regression analysis showed that small gestational age(GA),PIH and oligohydramnios were risk factors to S-M social adaptive capacity(Bvalue was 0.199,1.160 and-1.618;P value was 0.050,0.020 and 0.021;95.0%CI was-0.004-0.403,0.185-2.135 and-2.984--0.252,respectively).Small GA was a risk factor to sports ability and communication(B value was 0.090 and 0.018;P value was 0.046 and 0.041;95.0% CI was-0.002--0.178 and 0.001-0.035,respectively).Conclusion Delayed social adaptive capacity in LPIs emerges in the first three years after birth.Immature and perinatal risk factors increase the possibilities to the physiological vulnerability for inferior social development.So more emphasis should be put on LPIs’ social adaptive capacity for the prevention of future social behavior problems.
作者
尤嘉
吕明珠
陈焱
郝美辰
YOU Jia;LYU Ming-zhu;CHEN Yan;HAO Mei-chen(Department of Child Health,Xi'an Maternal and Child Health Hospital,Shaanxi Xi'an 710002,China)
出处
《中国妇幼健康研究》
2018年第12期1523-1526,共4页
Chinese Journal of Woman and Child Health Research
关键词
晚期早产儿
社会性发展
生活适应能力
高危因素
分析
late preterm infants (LPIs)
social development
living adaptive capacity
high-risk factors
analysis
作者简介
尤嘉(1975-),女,土家族,副主任医师,硕士,主要从事儿童早期发展及发育期障碍性疾病的研究。
