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早产儿语言发育迟缓的临床研究

Clinical study on language retardation in premature infants

  • 摘要: 目的 研究早产的各种影响因素与语言发育迟缓的关系,以及语言发育迟缓与智能发育特征之间的关系。方法 对在开封市妇产医院儿保科2015-2017年建立0~3岁健康档案并定期体检的300例早产儿为研究对象,采用0~6岁儿童神经心理发育量表进行发育评估。结果 早产儿语言发育迟缓与出生体重、胎龄、月龄、语言环境和养育人存在差异并具统计学意义(P <0.05),出生体重越低、胎龄越小,语言发育迟缓人数越多;随着年龄的增长,语言发育迟缓人数逐渐增多,在24~30个月达高峰,36个月明显下降;父母养育与语言环境良好的儿童语言发育迟缓人数相对较少。语言发育落后的同时存在社交行为的落后,智能发育各能区中除大运动、精细动作两组差异无统计学意义(P>0.05),适应能力、语言、社会交往3组存在差异并具统计学意义(P <0.05)。结论 关注早产儿的语言发育,在语言发育的关键期做好语言发育的筛查,早期发现影响早产儿语言发育的相关因素及可能伴随的其他发育问题,采取相应的干预措施,改善预后。

     

    Abstract: Objective To study the relationship between various influencing factors of premature delivery and language retardation,as well as the relationship between language retardation and the characteristics of intellectual development.Method A total of 300 premature infants who have established 0-3 year-old health records and received regular physical examination in our hospital's department of child care from 2015 to 2017 were selected as the object.The neuropsychological development scale of 6-yearold children was used to evaluate their development.Results There are significant differences in birth weight,gestational age,month age,language environment and caretaker between premature infants with language retardation and normal language development.(P<0.05).The lower birth weight,the smaller gestational age,the more number of language retardation.With the increase of age,the number of language retardation increased gradually,reached the peak in 24-30 months and decreased significantly in 36 months.The number of children with language retardation who were raised by their parents and hada good language environment was relatively small.The premature infants with underdeveloped language also had also backward social behavior.In each energy region of intelligence development,there was no significant difference in large and fine movements between the two groups(P>0.05).However,there were significant differences in adaptability,language and social interaction between the two groups(P<0.05).Conclusions It is necessary to pay attention to language development of premature infants.and to screen Language development in the critical period of language development.Early detection of related factors affecting language development of premature infants and other developmental problems and taking corresponding intervention measures is also necessary to improve the prognosis.

     

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