目的 探讨不同分娩方式对婴儿期儿童智力发育水平的影响。方法 随机选取2011年12月份参加健康体的211名(12±1)月龄期儿童, 采用修订的ASQ-C(修订年龄与发育进程问卷, Ages and Stages Questionnaires, ASQ-C)对儿童的父母/照看人进行问卷调查, 调整相应因素后, 按分娩情况分为顺产组和剖宫产组, 采用SPSS 17.0统计包进行分析。结果 男女童智力发育水平得分差异均无统计学意义(t=0.017, P>0.05)。城区儿童智力发育得分高于乡镇儿童(t=2.418, P<0.05), 居住在城区的儿童的沟通能区(t=2.453)和大动作能区(t=2.400)得分高于居住在乡镇地区的儿童(P均<0.05), 而精细动作能区、解决问题能区、个人社会能区无差异(P>0.05)。顺产组儿童智力水平高于剖宫产组(t=3.039), 顺产组儿童的沟通能区(t=2.933)、精细动作能区(t=2.455)和个人-社会能区(t=3.039) 的得分均高于剖宫产组儿童的得分(P均<0.01), 大动作能区(t=1.774)和解决问题能区(t=1.810)两组无差异(P均>0.05)。结论 智力发育水平在性别间无差异, 居住地是影响儿童智力发育水平的因素之一。剖宫产手术对儿童智力发育水平存在不利影响。

Objective To investigate the effect of different birth styles on the children's intelligence. Methods Using the Chinese Ages and Stages Questionnaires questionnaire (ASQ-C) for parents/guardians of the children aged one, according to birth style, the children were chosen and divided into 2 groupsnaturally delivered group and cesarean delivered group, to investigate the effect of mode of delivery on children's intelligence.SPSS 17.0 was used to analyse. Results There was no significant difference between boys and girls of the intelligence (t=0.017, P>0.05).The CG and PS scores in urban and country were different (t=2.418, P<0.05) .The scores of CM and GM of urban children were higher than the country-children, there were no significant differences among the FM, CG and PS (P>0.05).There was obvious difference between the spontaneous delivery group and the cesarean section group (t=3.039, P<0.01), the scores of CM, FM and PS of the spontaneous delivery group was higher than the cesarean section group (P<0.01), but there were no obvious differences between the GM and CG(P>0.05). Conclusions The intelligence of children is no difference in gender, residence was the factor of intelligence.The cesarean section is a risk factor to the intelligence of children.