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.
ZHANG Shi, HE Huijing, WAN Guobin
. Analysis of Gesell Developmental Schedules test in 200 late premature infants[J]. Journal of Diagnostics Concepts & Practice, 2017
, 16(02)
: 217
-220
.
DOI: 10.16150/j.1671-2870.2017.02.019
[1] Vohr B.Long-term outcomes of moderately preterm, late preterm, and early term infants[J]. Clin Perinatol,2013, 40(4):739-751.
[2] Heinonen K, Eriksson JG, Lahti J, et al.Late preterm birth and neurocognitive performance in late adulthood: a birth cohort study[J]. Pediatrics,2015,135(4):e818-e825.
[3] Baker M, Schafer G, Alcock KJ, et al.A parentally administered cognitive development assessment for children from 10 to 24 months[J]. Infant Behav Dev,2013,36(2):279-287.
[4] 彭冬来, 郑玉. 晚期早产儿健康状况的观察分析[J]. 新疆医学,2012,42(9):72-74.
[5] Belfort MB, Gillman MW, Buka SL, et al.Preterm infant linear growth and adiposity gain: trade-offs for later weight status and intelligence quotient[J]. J Pediatr,2013, 163(6):1564-1569.
[6] 陈飒英, 孙京惠, 王云峰, 等. 不同胎龄早产儿1岁时体格和神经发育差异分析[J]. 中国新生儿科杂志,2011,26(3):177-180.
[7] Odd DE, Emond A, Whitelaw A.Long-term cognitive outcomes of infants born moderately and late preterm[J]. Dev Med Child Neurol,2012,54(8):704-709.
[8] Morse SB, Zheng H, Tang Y, et al.Early school-age outcomes of late preterm infants[J]. Pediatrics. 2009,123(4):e622-e629.
[9] 刘秀梅, 初清. 晚期早产儿神经发育预后及影响因素分析[J]. 中国新生儿科杂志,2012,27(4):233-236.
[10] 贺月秋. 早产儿脑室周围白质软化的发病机制[J]. 实用儿科临床杂志,2006,21(4):246-248.
[11] Romeo DM, Guzzardi S, Ricci D, et al.Longitudinal cognitive assessment in healthy late preterm infants[J]. Eur J Paediatr Neurol,2012,16(3):243-247.
[12] 王晨, 王丹华. 宫内生长受限儿的神经发育预后[J]. 中国新生儿科杂志,2009,24(6):381-383.
[13] 何满芬, 黄广文, 蒋燕娟. 婴幼儿父母早期教育知识知晓及需求调查分析[J]. 实用预防医学,2011,18(4):672-674.
[14] 徐萍, 张雪峰, 李瑛, 等. 晚期早产儿健康状况及其影响因素探讨[J]. 中华儿科杂志,2009,47(12):931-934.
