孕产期因素对早产儿青春期智力水平的影响.pdfVIP

478 J Bengbu Med Coii，Juiy 2007，Voi. 32，No. 4 ［文章编号］1000-2200（2007）04-0478-03 · 预防医学· 孕产期因素对早产儿青春期智力水平的影响 姚荣英1 ，庄 颖1 ，袁长江2 ，李红影2 ，陶芳标3 ［摘要］目的：探索孕产期因素对早产儿青春期智力发育的影响。方法：运用病例对照研究的方法，对 99 名 11 ~ 16 岁的早产 儿病例组和 99 名足月产对照组（按同性别、同年级、年龄相差不超过 0. 5 岁、家庭环境相似等配对），采用中国韦氏儿童智力 量表（C-WISC）进行智力测试，并分析孕产期因素对早产儿青春期智力水平的影响。结果：影响早产儿青春期智力水平的因素 有母亲孕早期阴道出血、孕中晚期阴道出血、胎膜早破与分娩方式；孕产期因素对足月产儿青春期智力发育无影响。结论：预 防妊娠期阴道出血、胎膜早破以及采取剖宫产的分娩方式有利于早产儿的智力发育。 ［关键词］智力；青春期医学；孕产期因素；早产 ［中国图书资料分类法分类号］R 179 ［文献标识码］A Influence of gestational factors on intelligence development of premature children in juvenescent phase YAO Rong-ying1 ，ZHUANG Ying1 ，YUAN Chang-jiang2 ，LI Hong-ying2 ，TAO Fang-biao3 （1. Department of Children and Youths Hygiene，Bengbu Medical College，Bengbu 233030；2. Editorial Office， Chinese Journal of School Health，Bengbu 233000；3. College of Public Health，Anhui Medical Uniuersity，Hefei 230032，China） ［Abstract］Objective：To investigate the infiuence of gestationai factors on the inteiiigence deveiopment of premature chiidren in adoiescence. Methods：Ninty-nine 11 - 16 year oid chiidren born preterm and 99 controis were matched（on the basis of the same sex， same grade，same age with the discrepancy iess than 0. 5 year and simiiar famiiy environment）. The inteiiigenc guotients（IO）of the subjects were assessed with the Chinese Revised Wechsier Inteiiigence Scaie for Chiid（C-WISC）and the inteiiigence deveiopment of the preterms in adoiescent stage was anaiyzed. Results：The reiated materai gestationai factors，inciuding vaginai bieeding in first trimester and second or third trimester，