Objective To explore the neuropsychological behavior development states of children with preterm and low birth weight,make early intervene and improve the long-term outcome. Methods All the 14 community health centres of Lianhu district and Beilin district in Xi'an were chosen as the research sites.The resident population of children with preterm and low birth weight was 303,born between October 1st,2011 and September 30th,2013.According to the parents' informed consent,one hundred and forty-four cases (144/303)were included as the the study group and based on random principle,52 term-born children of the same age from the same community were chosen as the control group.The prevalences of cerebral palsy,motor delay and autism spectrum disorders (ASD) were compared between the two groups as well as the level of mental development. Results Among the study group,54 children scored abnormally in GESELL Development Diagnosis Scale (GESELL) scale.There were 10 cases diagnosed ASD,2 cases with cerebral palsy (type spastic),and 11 cases with motor delay.In the control group,3 children showed abnormal results in GESELL scale.Only 1 child was diagnosed motor delay,nobody was with cerebral palsy or ASD.Compared scores of GESELL scale,the scores of the study group were obviously lower than those of the control group,the differences between the two groups were statistically significant(P<0.05). Conclusion s Children with preterm and low birth weight are at high risk of the neural psychological behavior disorders.In the early development,more measures should be taken to supervise the neural and behavior development of these children,since it plays an important role in prevention of the neuropsychological behavior disorders.
Key words
children with preterm and low birth weight /
neuropsychological behavior /
autism spectrum disorders /
cerebral palsy
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Lauren AC,Michael EM,O'Shea TM,et al.Social-emotional delays at 2 years in extremely low gestational age survivors:Correlates of impaired orientation/engagement and emotional regulation[J].Early Human Development,2013,11(89) :925-930.
[2] Riikka P,Petteri H,Marius L,et al.Very low birth weight,infant growth,and autism-spectrum traits in adulthood[J].Pediatrics,2014,134(6):1075-1083.
[3] American Psychiatric Association.Diagnostic and statistical manual of mental disorders[M].5th ed.Arlington VA:American Psychiatric Association,2013:50-59.
[4] 唐久来.常见中枢性运动发育落后/障碍的规范化诊断[J].中国儿童保健杂志,2013,21(7):673-674.
[5] De Jong M,Verhoeven M,van Baar AL,et a1.School outcome,cognitive functioning and behaviour problems in moderate and late preterm children and adults:a review[J].Semin Fetal Neonatal Med,2012,17(3):163-169.
[6] Jessica R,Rachel V,Katelyn CR,et al.Brain microstructural development at near-term age in very-low-birth-weight preterm infants:An atlas-based diffusion imaging study[J].Neuroimage,2014,86(1):244-256.
[7] Tao X,Fernando G,De-Zhi M.An overview of risk factors for poor neurodevelopmental outcome associated with prematurity[J].World Journal of Pediatrics,2012,8(4):293-300.
[8] Line KL,Torstein V Stian L,et al.Mental health,quality of life and social relations in young adults born with low birth weight [J].Health Qual Life Outcomes,2012,11(5):146-156.
[9] Lorenz JM.Neurodevelopmental outcomes of twins[J],Semin Perinatol,2012,36(3):201-212.
[10] Scott MN,Taylor HG,Fristad MA,et al.Behavior disorders in extremely preterm/extremely low birth weight children in kindergarten[J].Dev Behav Pediatr,2012,33(3):202-213.
[11] Thomas RF,Harold WJ,Joanne C,et al.Prevalence of autism spectrum disorder among children aged 8 years -autism and developmental disabilities monitoring network,11 sites,United States,2010[J].Surveillance Summaries MMWR,2014,63(2):1-21.
[12] Michael WK,Soora W,Yinge Q,et al.Prevalence and neonatal factors associated with autism spectrum disorders in preterm infants[J].Pediatr,2014,164(1):20-25.
[13] Johnson S,Hollis C,Kochhar P,et al.Autism spectrum disorders in extremely preterm children[J].Pediatr,2010,154(4):525-531.
[14] Mira H,Riikka K,Liisa L,et a1.Associations between parental psychological well-being and socio-emotional development in 5-year-old preterm children[J].Early Human Development,2014,90(3):119-124.
[15] Hilderman CG,Harris SR.Early Intervention post-hospital Discharge for Infants Born Preterm[J].Phys Ther,2014,94 (9):1211-1219.
PDF(444 KB)
