目的 了解晚期早产儿的智能发育情况及其影响因素,为早期干预提供理论依据。方法 选取本院200例晚期早产儿作为早产组,另选择同期100名足月生产的婴儿作为对照组,采用盖塞尔婴幼儿智能评估量表评估其智力发展水平,并分析影响晚期早产儿智力发展的危险因素。结果 200例晚期早产儿的发育商平均分为（94.5±6.7）分,大运动、精细动作、语言、社会行为和适应性5个方面的异常率分别为9.00%、10.00%、8.50%、8.50%和9.00%。经多因素Logistic回归分析发现,极低出生体重(OR=2.235)、低血糖(OR=2.002)、双亲文化程度(OR=0.750)与晚期早产儿智力发育情况间有显著相关性(P<0.05)。结论 晚期早产儿是智力发育异常的高危人群,应给予更多关注,而进行科学、合理的早期干预和神经行为评估有利于其神经系统的发展。
Objective: To investigate the intelligent development of late preterm infants and its influencing factors, and to provide a theoretical basis for early intervention. Methods: Two hundred late preterm infants were enrolled, and 100 full term infants were served as controls. The intelligence development level was assessed by Gesell development schedules test, and the risk factors for influencing the development of intelligence were analyzed. Results: The average developmental quotient score of 200 late preterm infants was 94.5+6.7, and the abnormal rates of gross motor development, fine movement, verbal skills, social behavior and adaptability were 9.00%, 10.00%, 8.50%, 8.50%, and 9.00%, respectively. Multi factor logistic regression analsis showed that, very low birth weight (OR=2.235), low blood glucose (OR=2.002) and parental education level (OR=0.750) were associated with mental development in late preterm infants(P< 0.05). Conclusions: The late preterm infants are at high risk for mental development, abnormal rates are significantly associated with very low birth weight, low blood glucose and low parental education level.
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