目的 分析不同分娩方式和分娩孕周对学龄期儿童学习能力的影响。方法 采用整群随机抽样的方法,在昆山市抽取的4 983名6~12岁儿童(其父母、老师等)进行不同分娩状态及学龄期学习能力等相关因素的问卷调查。采用多重线性回归来分析不同分娩方式和分娩孕周对学龄期儿童学习能力的影响。结果 本次研究共纳入研究对象4 983例,其学习能力平均分为(4.26±0.52)分,其中女生的学习能力平均分[(4.35±0.48)分]显著高于男生[(4.18±0.53)分](P<0.05),高年级的学习能力平均分[(4.36±0.52)分]高于中年级[(4.23±0.52)分]和低年级[(4.18±0.49)分](P<0.05)。多重线性回归分析发现,调整了性别、年级的影响后,以顺产作为参比组,剖宫产和难产对学龄期儿童学习能力的影响尚无统计学意义;以足月产儿童为参比,早产的学龄期儿童其学习能力平均分会降低0.07分,过期产的儿童其学习能力平均分会降低0.08分。结论 早产和过期产对学龄期儿童的学习能力存在一定影响。
Abstract
Objective To analyse the influence of different delivery status on school-age children's learning ability. Methods A total of 4 983 children during 6~12 years old in Kunshan city were selected through cluster sampling Method.They and their teachers or parents were surveyed about learning ability and their delivery status.Multiple linear regression was used to analyze the influence of different delivery status on school-age children's learning ability. Results The average score of 4 983 children's learning ability was (4.26±50.52).The average score of the girls' learning ability (4.35±0.48) was higher than that of the boys' (4.18±0.53)(P<0.05).The average learning ability score of children in high grade (4.36±0.52) was higher than that of the children in middle (4.23±0.52) or low grade (4.18±0.49)(P<0.05).Multiple linear regressions found there was no statistical significance of the influence of cesarean and dystocia on the school-age children's learning ability after adjustment for gender and grade level.However,prematurity and postterm pregnancy could reduce the average score of children's learning ability after adjustment for gender and grade level,and the reduced score were 0.07 and 0.08,respectively. Conclusion Prematurity and postterm pregnancy could influence the school-age children's learning ability.
关键词
分娩方式 /
分娩孕周 /
学习能力
Key words
delivery way /
delivery gestational age /
learning ability
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参考文献
[1] Muula AS.Ethical and practical consideration of women choosing cesarean section deliveries without "medical indication" in developing countries[J].Croatian Medical Journal,2007,48(1):94-102.
[2] Susan M.Caesarean section rate in England reaches 22%[J].BMJ,2002,324(7346):1118.
[3] 卢平,朱锐.不同分娩方式对12月龄儿童智力发育水平的影响[J].中国儿童保健杂志,2014,22(6):657-659.
[4] 黄旭,王梦龙,静进,等.分娩方式对学龄前儿童气质、行为及智力影响的初步探讨[J].中国儿童保健杂志,2004,12(2):103-105.
[5] Jarjour IT.Neurodevelopmental outcome after extreme prematurity:a review of the literature[J].Pediatric Neurology,2015,52(2):143-152.
[6] 韩霞,冯佩,陈羿君,等.昆山市学龄期儿童学习困难影响因素研究[J].中国儿童保健杂志,2014,22(9):994-996.
[7] 谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013.
[8] 吴汉荣,余毅震,王礼桂,等.学习障碍儿童心理问题及心理辅导效果评价[J].中国学校卫生,2002,23(6):490-491.
[9] 罗定,周德群.小学、初中学生“阴盛阳弱”原因分析[J].中国德育,2001,5(1):62.
[10] 郭海英.小学低年级学生学习障碍成因分析及矫正对策研究[D].石家庄:河北师范大学,2009.
[11] 张文坤,郝波,赵更力,等.不同分娩方式对婴儿心智发育的影响[J].中国儿童保健杂志,2008,16(2):141-143.
[12] Johnson S.Cognitive and behavioural outcomes following very preterm birth[J].Seminars in Fetal & Neonatal Medicine,2007,12(5):363-373.
[13] Louise M,Peacock JL,Calvert SA,et al.Factors affecting vocabulary acquisition at age 2 in children born between 23 and 28 weeks' gestation[J].Developmental Medicine & Child Neurology,2007,49(8):591-596.
[14] Catherine L,Haim B,Sullivan NR,et al.Positive screening for autism in expreterm infants:prevalence and risk factors[J].Pediatrics,2008,121(4):758-765.
基金
昆山市科技局社会发展计划资助项目(KS1133)
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