Study on neuropsychic behavior development of late preterm infants

YOU Jia; CAO Chun-hong; HAO Mei-chen; YANG Xiao-yan; WU Jun-ya

doi:10.11852/zgetbjzz2018-26-01-23

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Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (1) : 84-87. DOI: 10.11852/zgetbjzz2018-26-01-23

Study on neuropsychic behavior development of late preterm infants

YOU Jia, CAO Chun-hong, HAO Mei-chen, YANG Xiao-yan, WU Jun-ya

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Abstract

Objective To analyze the neuromotor,psychological and behavioral development of late preterm infants(LPIs),and to give advice on early intervention to avoid the abnormal neurodevelopment outcome. Methods A total of 102 LPIs and 153 healthy full term infants (FTIs) with the same age were chosen as LPIs group and FTIs group respectively.LPIs group was also subdivided into LPIs1 group (without risk factors) and LPIs2 group (with risk factors) by prenatal risk factors.Neurodevelopmental tests were completed when they were 24～30 months:Incidence of motor disorders (MD) was compared between the two groups.Development quotient (DQ) of Gesell Development Diagnosis Scale (GDDS),scores of Sensory Integrative Development Checklist for Child and S-M Social Living Capacity Scale were compared among LPIs1,LPIs2 and FTIs groups. Results Incidence of MD in LIPs group was significantly higher than that in LPIs group.Compared among LPIs1,LPIs2 and FTIs group,DQ of GDDS,scores of S-M Social Living Capacity Scale and Physiological Inhibition of Cranial Nerves in Sensory Integrative Development Checklist for children were significantly different in interior-group (all P<0.001).Infants in LPIs1 and LPIs2 group performed inferior to their partners in FTIs group in the tests above(all P<0.05).Between the subgroups,there was no significant difference in the tests (P>0.05).Multiple linear regression analysis showed that pregnancy-induced hypertension was risk factor for S-M Social living capacity,adaptability,individual-social communication and language(all P<0.05).Premature rupture of fetal membranes was risk to S-M social living capacity,adaptability,fine motor and gross motor (all P<0.05).Gestational age was the risk factor for cerebral nerve suppression disorder and gross motor (all P<0.05).Birth weight was the risk factor for cerebral nerve suppression disorder and fine motor (all P<0.05). Conclusions The ending of neuropsychic behavior development of late preterm infants is not optimistic.Development monitoring should be strengthened in order to reduce bad development ending.

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late preterm infants / motor disorders / sensory integrative development / social living capacity

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YOU Jia, CAO Chun-hong, HAO Mei-chen, YANG Xiao-yan, WU Jun-ya. Study on neuropsychic behavior development of late preterm infants[J]. Chinese Journal of Child Health Care. 2018, 26(1): 84-87 https://doi.org/10.11852/zgetbjzz2018-26-01-23

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