妊娠高血压疾病患者子代2~5岁神经心理发育现况调查

中国儿童保健杂志 ›› 2011, Vol. 19 ›› Issue (1): 18-20.

妊娠高血压疾病患者子代2~5岁神经心理发育现况调查

杨柳¹,刘丽²,郑冬梅³,王志明¹,解雅春¹,王忠清¹,花琛¹,王忆军¹,张慧颖¹

1 哈尔滨医科大学公共卫生学院儿少卫生与妇幼保健学教研室,黑龙江哈尔滨 150081;
2 哈尔滨市妇幼保健院,黑龙江哈尔滨 150010;
3 中国人民解放军第211医院, 黑龙江哈尔滨 150080

收稿日期:2010-11-23 发布日期:2011-01-06 出版日期:2011-01-06
通讯作者: 张慧颖,E-mail:zhysxj@yahoo,com,cn
作者简介:杨柳(1983-),女,吉林人,在读硕士研究生,主要研究方向为儿童生长发育
基金资助:
国家自然科学基金(30771818)

Neuropsychological development in 2~5 years old offspring of hypertension disorder complicating pregnancy

YANG Liu¹, LIU Li², ZHENG Dong-mei³, WANG Zhi-ming¹, XIE Ya-chun¹, WANG Zhong-qing¹, HUA Chen¹, WANG Yi-jun¹, ZHANG Hui-ying¹

1 Public Health College, Harbin Medical University, Harbin, Heilongjiang 150081, China;
2 Harbin Maternal and Child Hospital, Harbin, Heilongjiang 150010, China;
3 The 211th Hospital of People's Liberation Army, Harbin, Heilongjiang 150080, China

Received:2010-11-23 Online:2011-01-06 Published:2011-01-06

摘要/Abstract

摘要： 【目的】探求妊娠期高血压疾病(hypertension disorder complicating pregnancy, HDCP)对其子代神经心理发育的影响。【方法】采用1∶1配对的病例对照研究方法,随访HDCP患者2~5岁子代与正常对照儿童各27人,运用“0~6岁小儿神经心理发育量表”对两组儿童的智能进行评价,并收集两组儿童的生活环境及生活习惯行为等。【结果】 HDCP子代在妊娠天数、出生体重及出生身长方面均低于正常儿童(P＜0.05)。在神经心理发育方面,显示出HDCP子代在语言和社交两个维度上的智能以及发育商方面显著低于正常对照儿童(P＜0.05)。在生活环境方面,社交行为智能发育与被动吸烟呈负相关,而与常住人口呈正相关(P＜0.05)。在生活行为方式方面,社交行为智能发育和发育商与每日户外活动时间、喜欢与同龄儿童交流呈正相关(P＜0.05),而与每日观看电视/电脑的时间呈负相关(P＜0.05)。【结论】 HDCP患者生活环境和生活行为方式对儿童的神经心理发育有影响。

关键词: 妊娠期高血压疾病, 子代, 神经心理发育

Abstract: 【Objective】 To explore the effect of hypertension disorder complicating pregnancy (HDCP) on neuropsychological development of their 2~5 years old offspring. 【Methods】 Using 1∶1 matched case-control study method, chosen 27 offspring in HDCP group and control group. The intelligence was evaluated utilizing 0~6 years infant neuropsychological development scale. The relevant informations were collected, including living environments and lifestyle behaviors. 【Results】 The offspring with HDCP mother were lower than the normal children in the gestational duration days, birth weight and birth length (P<0.05). The language and socialization dimension of neuropsychological development and developmental quotient (DQ) were lower in offspring of HDCP than those of control in 2~5 years old (P<0.05). On the living environment, there was negative correlation between socialization and passive smoking (P＜0.05), but positive correlation between socialization and number of inhabitant (P＜0.05). On the lifestyle behaviors, there was a positive correlation between outdoor activities time, liking to communicate with other children and socialization, DQ (P＜0.05), but a negative correlation between the time for watching TV/computer and socialization and DQ (P＜0.05). 【Conclusions】 The living environment and the lifestyle behaviors of HDCP can affect the neuropsychological development. Early intervention is necessary for the neuropsychological development in offspring of HDCP.

Key words: hypertension disorder complicating pregnancy, offspring, neuropsychological development

中图分类号:

R749.94

杨柳,刘丽,郑冬梅,王志明,解雅春,王忠清,花琛,王忆军,张慧颖. 妊娠高血压疾病患者子代2~5岁神经心理发育现况调查[J]. 中国儿童保健杂志, 2011, 19(1): 18-20.

YANG Liu, LIU Li, ZHENG Dong-mei, WANG Zhi-ming, XIE Ya-chun, WANG Zhong-qing, HUA Chen, WANG Yi-jun, ZHANG Hui-ying. Neuropsychological development in 2~5 years old offspring of hypertension disorder complicating pregnancy[J]. journal1, 2011, 19(1): 18-20.

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