目的 回顾性分析2009~2016年北京市东城区0~1岁儿童神经心理发育监测情况,评估儿童神经心理发育监测管理模式进行,为进一步完善儿童心理保健工作提供依据。 方法 所有在东城区南片辖区内保健科做保健管理的0~1岁儿童,采用丹佛发育筛查法(DDST)进行监测,从2015年开始,增加了儿童心理行为发育问题预警征象筛查法。 结果 2009-2016年,发育迟缓筛查阳性率由2009年的1.94%上升到2016年的3.03%;阳性转诊率由2009年的14%上升到2016年的65.57%;2016年发育迟缓的患病率显著升高,由2009年的1.17‰上升到2016年的8.78‰。 结论 实施有效的儿童神经心理发育监测及保健管理模式,是早发现、早诊断、早干预发育迟缓儿童的有效途径。
Abstract
Objective To retrospectively analyze the neuropsychological development in children aged 0-1 years in Beijing dongcheng district from 2009 to 2016,and to evaluate the management model of children′s neuropsychological development monitoring,in order to provide reference for improving the psychological health care in children. Methods Children aged 0-1 years who took health care management in Dongcheng south district were enrolled in this study,and were monitored using the Denver Developmental Screening Test(DDST). Since 2015,an early warning screening method for children′s psychological and behavioral development has been added. Results The screening positive rate of developmental retardation rose from 1.94% in 2009 to 3.03% in 2016. The positive referral rate increased from 14% in 2009 to 65.57% in 2016. The prevalence rate of development delay significantly increased from 1.17‰ in 2009 to 8.78‰ in 2016. Conclusion The effective implementation of children′s neuropsychological development monitoring and health management model,is an effective way to early detection,early diagnosis and early intervention of children′s developmental delay
关键词
儿童神经心理保健 /
发育监测 /
管理模式
Key words
children′s neuropsychological development /
growth monitoring /
management mode
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参考文献
[1] Zablotsky B,Black LI,Blumberg SJ.Estimated prevalence of children with diagnosed developmental disabilities in the United States,2014-2016[EB/OL].Hyattsville:National Center for Health Statistics,2017.https://www.cdc.gov/nchs/data/databriefs/db291.pdf.
[2] Wei QW,Zhang JX,Sherphier RW,et al.High prevalence of developmental delay among children under three years of age in poverty-stricken areas of China[J].Public Health,2015,129(12):1610-1617.
[3] 邵洁.儿童发育监测和筛查在儿童保健中的应用[J].中国实用儿科杂志,2016,31(10):735-739.
[4] 朱华,彭珉娟,杨涛毅,等.儿童保健系统管理更新模式的临床研究[J].中国儿童保健杂志,2012,20(11):1016-1019.
[5] 邹小兵,李咏梅.儿童发育迟缓及发育障碍的早期干预和管理[J].中国实用儿科杂志,2016,31(10):756-760.
[6] 高雅静,赵春霞,黄小娜,等.早期综合干预对贫困农村地区0~3岁留守儿童心理行为发育的影响[J].中国儿童保健杂志,2018,26(7):721-724.
[7] Tracy M,King S,Darius T,et al.Implementing developmental screening and referrals:lessons learned from a national project[J].Pediatrics,2010,125(2):350-360.
[8] 梁明丽.北京地区儿童发育迟缓筛查阳性情况及管理研究[J].中国优生与遗传杂志,2017,25(3):113-116
[9] Macy M.The evidence behind developmental screening instrum-ents[J].Infant Young Child,2012,25(1):19-61.
[10] Miller DT,Adam MP,Aradhya S,et al.Consensus statement:chromosomal microarray is a first-tier clinical diagnostic test for individuals with developmental disabilities or congenital anomalies[J].Am J Hum Genet,2010,86(5):749-764