目的 探讨晚期早产对儿童学龄前期的行为及情绪的影响。方法 采用儿童行为量表(the Child Behavior Checklist, CBCL)对广东省中山市博爱医院儿童保健科随访的97例学龄前期晚期早产儿童(34周<胎龄<37周)进行评估, 并与107名正常足月儿的结果进行比较。结果 晚期早产组儿童的行为问题总分(25.67±20.07)显著高于正常对照组儿童的行为问题总分(20.85±18.29)(P<0.001), 除焦虑抑郁因子外(P=0.073), 晚期早产组儿童的其他各因子得分也显著高于对照组儿童(P<0.05)。结论 在学龄前期, 具晚期早产史的儿童比正常儿童更多地出现情绪及行为问题。
Abstract
Objective To explore the effect of premature on the behavior and emotion when the infants grow up to 4~6 years old. Methods A total of 97 late-preterm infants (34 weeks < gestational age < 37 weeks) which were followed up in Zhongshan Bo'ai Hospital of Guangdong Province were assessed by the Child Behavior Checklist (CBCL) when they were 4~6 years old, and compared the Results with those of the 107 normal controls. Results The total score of late-preterm group (25.67±20.07) was significantly higher than that in the control group (20.85±18.29)(P<0.05).Also most of the subscales scores were significantly higher in late-preterm group than that in the control group (P<0.05). Conclusion Children at 4~6 years old with late-preterm history are more likely to suffer from behavioral and emotional problems.
关键词
晚期早产 /
学龄前 /
行为问题 /
情绪问题
Key words
late-preterm /
preschool /
behavioral problem /
emotional problem
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参考文献
[1] Hack M, Flannery DJ, Schluchter M, et al.Outcomes in young adulthood for very-low-birth-weight infants[J].N Engl J Med, 2002, 346(3):149-157.
[2] Wood NS, Costeloe K, Gibson AT, et al.The EPICure study:associations and antecedents of neurological and developmental disability at 30 months of age following extremely preterm birth[J].Arch Dis Child Fetal Neonatal Ed, 2005, 90(2):134-140.
[3] Hack M, Taylor HG, Drotar D, et al.Poor predictive validity of the bayley scales of infant development for cognitive function of extremely low birth weight Children at school age[J].Pediatrics, 2005, 116(2):333-341.
[4] Anneloes L, van Baar, Kees Ultee, et al.Developmental course of very preterm children in relation to school outcome[J].Journal of Developmental and Physical Disabilities, 2006, 18(3):273-293.
[5] 刘光辉, 胡传来, 查涛, 等, 早产低出生体重儿行为问题及社会适应能力的追踪研究[J].中国妇幼保健, 2008, 23(21):2974-2976.
[6] 张彬彬, 朱敏容, 邵志英, 等.晚期早产儿与足月小于胎龄儿生长发育状况比较[J].临床儿科杂志, 2012, 30(5):450-457.
[7] Khashu M, Narayanan M, Bhargava S, et al.Perinatal outcome associated with preterm birth at 33 to 36 week's gestation:a population-based cohort study[J].Pediatrics, 2009, 123(1):109-113.
[8] McGowan JE, Alderdicc FA, Holmes VA, et al.Early childhood development of late-preterm infants:a systematic review[J].Pediatrics, 2011, 127(6):1111-1124.
[9] Achenbach TM.Manual for the child behavior checklist/4-18 and 1991 Profile[R].Burlington, TV:Univerisity of Vermont Department of Psychiatry, 1991.
[10] 郭兰婷, 梁永亮, 何定邦, 等.香港和成都市儿童行为量表(CBCL)跨地区比较研究[J].中国心理卫生杂志, 2000, 14(3):145-148.
[11] Reijneveld SA, de Kleine MJ, van Baar AL, et al.Behavioral and emotional problems in very pretern and very low birth weight infants at age 5 years[J].Arch Dis Child Fetal Neonatal Ed, 2006, 91(6):F423-F428.
[12] Luu TM, Ment LR, Schneider KC, et al.Lasting effects of preterm birth and neonatal brain hemorrhage at 12 years of age[J].Pediatrics, 2009, 123(3):1037-1044.
[13] Nadeau L, Tessier R, Descteaux A, et al.Observed behaviours of pre-term children in a social play situation with classroom peers[J].Dev Neurorehabil, 2009, 12(4):201-206.
[14] 邹小兵, 静进.行为发育儿科学[M].北京:人民卫生出版社, 2005:343-344.
[15] Treyvaud K, Anderson VA.Parenting behavior is associated with the earlyneuro behavioral development of very preterm children[J].Pediatrics, 2009, 123(2):555-561.
[16] 刘霞, 程茜.重庆市城区早产婴儿社会生活适应能力的研究[J].中国妇幼健康研究, 2012, 23(4):416-418.
[17] Salt A, Redshaw M.Neurodevelopmental follow-up after preterm birth:follow up after two years[J].Early Hum Dev, 2006, 82(3):185-97.
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