Factors influencing the early neurodevelopment in premature infants
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摘要: 目的 探讨早产儿神经心理发育情况及其影响因素,为早产儿保健提供指导。方法 对859例早产儿进行定期随访和早期家庭干预,矫正6月龄时应用贝利婴幼儿发育量表(bayley scales of infant development,BSID-I)进行评估,采用多元线性回归模型进行影响因素分析。结果 早产儿矫正6月龄智力和运动发育迟缓率分别为2.4%和3.4%。出生体重 ≥ 2 000 g、家庭月收入5 000元及以上、前六个月纯母乳喂养者,智力发育较好(均有P<0.05);家庭月收入5 000元及以上、前六个月纯母乳喂养、完成早期家庭干预者,运动发育较好(均有P<0.05)。多元线性回归模型结果显示,智力发育与前六个月纯母乳喂养(β=2.827,95%CI:0.348~5.305)、较高出生体重(β=4.030,95%CI:1.351~6.710)和较高家庭月收入(β=2.909,95%CI:0.352~5.465)呈正相关;运动发育与完成早期家庭干预(β=2.331,95%CI:0.146~4.516)和较高家庭月收入(β=2.848,95%CI:0.156~5.541)呈正相关。结论 前六个月纯母乳喂养和早期家庭干预能够促进早产儿神经心理发育,建议更加关注低出生体重和家庭收入较低的早产儿的神经心理发育。Abstract: Objective To assess early neurodevelopment of premature infants and explore its influencing factors and provide guidance on health care for premature infants. Methods A total of 859 premature infants were followed up and given early comprehensive intervention. Bayley scales of infant development (BSID-I) was used to evaluate their mental and motor development. Multivariable linear regression analysis was used to explore influencing factors of mental and motor development. Results At the corrected age of 6 months, the growth retardation rate of mental and motor development was 2.4% and 3.4%, respectively. Premature infants with birth weight ≥ 2 000 g, monthly household income ≥ 5 000 yuan and breast-feeding within the first 6 months had better mental development (all P<0.05); and those with monthly household income ≥ 5 000 yuan, breast-feeding within the first 6 months and with completed early family intervention had better motor development (all P<0.05). Multivariable linear regression analysis showed that mental development was positively correlated with breast-feeding within the first 6 months (β=2.827, 95% CI:0.348-5.305), higher birth weight (β=4.030, 95% CI:1.351-6.710) and higher monthly household income (β=2.909, 95% CI:0.352-5.465);and mental development was positively correlated with completed early family intervention (β=2.331, 95% CI:0.146-4.516) and higher monthly household income (β=2.848, 95% CI:0.156-5.541). Conclusions Breast-feeding within 6 months and early family intervention could promote neurodevelopment of premature infants. Thus, more attention should be paid to premature infants with lower birth weight and lower household income.
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Key words:
- Infant, premature /
- Child development /
- Early intervention
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