Abstract: 【Objectives】 To investigate the early feeding of some infants in Changsha Maternal and Child Health Care Hospital to study the correlation of breastfeeding and neurobehavioral development,which might provide a more rational guidance for infant feeding. 【Methods】 From July to December of 2010,274 infants aged 6~12 months old who involved in the physical examination in Changsha Maternal and Chil Health Hospital were selected.Questionnaire survey was used to collect the information of feeding,Gesell Development Scale was used to evaluate neurobehavioral development,Anova single factor analysis of variance and multiple regression analysis were used. 【Results】 Exclusive breastfeeding after born for 67.9%,exclusive breastfeeding 6 months for 13.1%.The Gesell Scales showed that the DQ of female was higher than that of male(P<0.05);The Gesell scales showed that the adaptive score and the fine motor score of exclusive breastfeeding were higher than formula feeding and mixed feeding group (P<0.05). Multivariate stepwise regression analysis showed that the duration of exclusive breastfeeding of the main factor to promote the DQ. 【Conclusion】 Prolonged exclusive breastfeeding may promote the neurobehavioral development of infants.

Key words: exclusive breastfeeding, neurobehavioral development, Gesell assessment

摘要： 【目的】 通过调查儿保门诊婴儿喂养情况,探讨母乳喂养与婴儿神经行为发育相关性。 【方法】 对长沙市妇幼保健院2010年7-12月进行健康体检的274例6~12月龄婴儿进行现况调查,通过问卷调查收集婴儿喂养情况,采用Gesell发育量表对婴儿的神经行为发育进行评估。用ANOVA单因素方差分析及多元逐步回归分析等方法进行统计分析。 【结果】 出生后纯母乳喂养占67.9%,纯母乳喂养6个月以上占13.1%。婴儿发育商比较,女婴发育商高于男婴(P<0.05);纯母乳喂养组高于人工喂养组和部分母乳喂养组,在适应性、大运动能区,差异有统计学意义(P<0.05);多元逐步回归分析显示:纯母乳喂养时间为婴儿发育商的主要影响因素。 【结论】 纯母乳喂养时间的延长有利于婴儿的神经行为发育。

关键词: 纯母乳喂养, 神经行为发育, Gesell评估