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1.
目的:探究早期综合发展促进干预对婴幼儿神经心理发育的影响。方法选取2013年1至4月在天津市河北区妇幼保健院顺产分娩的正常足月儿114例为研究对象,根据干预自愿原则随机分为实验组60例和对照组54例,采用首都儿科研究所编制的《0~6岁小儿神经心理发育检查表》分别对两组儿童3月龄、12月龄、18月龄3个阶段的发育商( DQ)进行评测及统计分析。结果干预前,3月龄段实验组的总DQ(101.7±16.4)与对照组的总DQ(101.6±19.7)比较差异无统计学意义(P>0.05);干预后,两组12月龄、18月龄段的总DQ差异均有统计学意义( t值分别为1.777、3.048,均P<0.05)。结论婴幼儿早期综合发展促进对其神经心理发育具有积极作用。  相似文献   

2.
1986年4月至12月对北京市一所普通中学289名12~16岁的男生进行了性发育研究,初步了解了男生的性发育状况,探讨了睾丸、阴茎的检查方法及性发育状况的综合表示方法,并研究了性发育和形态发育的关系,发现13、14岁男生随着性发育程度的提高,形态发育水平也提高,而形态发育速度则逐渐减慢,提示性发育和形态发育间存在着密切联系。  相似文献   

3.
【目的】 了解出生体重对婴儿早期体格及智能运动发育的影响,为巨大儿的早期健康促进提供理论依据。 【方法】 对在本院产科出生的巨大儿及足月适于胎龄儿进行定期跟踪检查,了解两组婴儿体格及运动发育特征,并于1岁时运用贝利婴儿发展量表对两组婴儿进行发育测评。 【结果】 巨大儿1岁以内的体重、身高、头围均高于同龄的足月适于胎龄儿(P<0.05);两组之间1岁以内重要运动指标出现的例数比较差异无统计学意义(P>0.05);1岁时巨大儿的运动发育指数均值较足月适于胎龄儿的高(P<0.05)。 【结论】 出生正常的巨大儿在1岁以内的体格发育显著超前于足月适于胎龄儿;较重的体重负荷对其1岁以内重要运动指标的出现以及1岁时的智能及运动发育未造成明显的不良影响。  相似文献   

4.
目的 评估我国婴幼儿认知和运动发展水平,了解我国儿童早期发展现状。方法 于2012年10月-2013年3月抽取全国8个省市1 026名2~30月龄足月、健康婴幼儿作为研究对象。通过问卷调查获得人口学及社会经济水平等因素,采用贝利婴幼儿发展量表第1版对婴幼儿进行发育评估。使用多元回归分析,探索婴幼儿认知发育及运动发育的影响因素。结果 我国2~30月龄婴幼儿平均认知发展指数102.38±17.58,平均运动发展指数为101.39±16.38。认知发育迟缓发生率为7.70%,运动发育迟缓发生率8.28%。控制混杂因素后,发现相较于母亲教育程度为大专及以上的人群,母亲受教育程度为初中及以下学历人群的认知发展指数和运动发展指数降低显著(β=-8.51,95%CI:-11.23~-5.78;β=-4.17,95%,CI:-6.79~-1.55)。结论 我国城乡地区婴幼儿早期发展水平较20年前有上升,母亲受教育程度对婴幼儿认知、运动发育有重要影响。  相似文献   

5.
目的 探讨不同出生胎龄的早产儿在纠正月龄24个月以内的体格、运动及智能发育趋势,为早产儿早期干预提供理论依据。方法 将不同出生胎龄的早产儿分为两组(≥32周组的中晚期早产儿组及<32周组的早期早产儿组),统一对他们进行定期随访,在特定的纠正月龄(6 、12、18、24)进行体格、运动及智能发育评定,并观察他们的运动及智能发育在两岁以内的生长发育趋势。结果 1)体格发育两组早产儿在纠正6月龄的体重、身长及头围的构成比差异均有统计学意义,体重构成比的差异持续至纠正12月龄; 2)运动发育指数(psychomotor developmental index,PDI)两组早产儿的PDI在纠正6、12月龄均明显低于85分,早期早产儿组的差距更大,纠正18月龄后两组早产儿无需纠正均可达85分以上;3)智能发育指数(mental developmental index,MDI)两组早产儿的MDI在纠正6、12、18月龄均明显低于85分,早期早产儿组的差距更大,纠正24月龄时MDI无需矫正两组早产儿均可达85分以上。结论 早期早产儿组在1岁以内的体格发育存在追赶不足的问题,体重表现的较明显,建议加强早期早产儿组的早期营养强化;两组早产儿纠正24月龄以内的运动及智能发育水平明显低于同龄儿,而在纠正24月龄时均能赶上同龄儿,两组早产儿的运动及智能发育在纠正24月龄内均呈现追赶发育趋势。  相似文献   

6.

Background

Several European countries, including Belgium, still suffer from mild iodine deficiency. Thyroid stimulating hormone (TSH) concentration in whole blood measured at birth has been proposed as an indicator of maternal iodine status during the last trimester of pregnancy. It has been shown that mild iodine deficiency during pregnancy may affect the neurodevelopment of the offspring. In several studies, elevated TSH levels at birth were associated with suboptimal cognitive and psychomotor outcomes among young children. This paper describes the protocol of the PSYCHOTSH study aiming to assess the association between neonatal TSH levels and intellectual, psychomotor and psychosocial development of 4–5 year old children. The results could lead to a reassessment of the recommended cut-off levels of 5 > mU/L used for monitoring iodine status of the population.

Methods

In total, 380 Belgian 4–5 year old preschool children from Brussels and Wallonia with a neonatal blood spot TSH concentration between 0 and 15 mU/L are included in the study. For each sex and TSH-interval (0–1, 1–2, 2–3, 3–4, 4–5, 5–6, 6–7, 7–8, 8–9 and 9–15 mU/L), 19 newborns were randomly selected from all newborns screened by the neonatal screening centre in Brussels in 2008–2009. Infants with congenital hypothyroidism, low birth weight and prematurity were excluded from the study. Neonatal TSH concentration was measured by the Autodelphia method in dried blood spots, collected by heel stick on filter paper 3 to 5 days after birth. Cognitive abilities and psychomotor development are assessed using the Wechsler Preschool and Primary Scale of Intelligence - third edition - and the Charlop-Atwell Scale of Motor coordination. Psychosocial development is measured using the Child Behaviour Check List for age 1½ to 5 years old. In addition, several socioeconomic, parental and child confounding factors are assessed.

Conclusions

This study aims to clarify the effect of mild iodine deficiency during pregnancy on the neurodevelopment of the offspring. Therefore, the results may have important implications for future public health recommendations, policies and practices in food supplementation. In addition, the results may have implications for the use of neonatal TSH screening results for monitoring the population iodine status and may lead to the definition of new TSH cut-offs for determination of the severity of iodine status and for practical use in data reporting by neonatal screening centres.  相似文献   

7.
由于方向不明、定位不准、管理缺失,盲目贪大求快,医院陷入了恶性膨胀的发展怪圈,从一定程度上制约了医院的可持续发展。本文从转变发展模式入手,探讨医院可持续发展思路旨在为医院健康有序地发展提供借鉴。  相似文献   

8.
One aspect of child humor development ‐‐ children's explanations of pictoral humor ‐‐ was examined in relation to the Visual Humor Categories, a 4‐category system to describe humor responses. Thirty children aged 4, and 30 children aged 6, explained what they found to be funny in 2 humorous pictures. Results indicated that all explanations were accommodated by the Visual Humor Categories, and that the explanations differed by category type for the two age groups. Surprisingly, the explanations also differed by gender. It is concluded that the Visual Humor Categories is a useful developmental approach for examining children's understanding of pictoral humor, and further study is recommended.  相似文献   

9.
生长发育监测是儿童早期发展的重要工作组成。运动发育评估作为儿童生长发育监测的基本内容值得重视。儿童运动发育监测是依据小儿运动发育的里程碑,结合反射、肌张力、姿势及运动模式,采用询问、观察和检查等手段结合评估量表,综合判断儿童运动发育水平,识别是否存在落后与异常,给予早期干预和康复。本文从综合性发育量表、婴儿期识别性神经运动发育量表、儿童期专项运动发育量表及脑瘫儿童适用的运动量表等方面介绍了目前儿童运动评估状况。  相似文献   

10.
One aspect of child humor development -- children's explanations of pictoral humor -- was examined in relation to the Visual Humor Categories, a 4-category system to describe humor responses. Thirty children aged 4, and 30 children aged 6, explained what they found to be funny in 2 humorous pictures. Results indicated that all explanations were accommodated by the Visual Humor Categories, and that the explanations differed by category type for the two age groups. Surprisingly, the explanations also differed by gender. It is concluded that the Visual Humor Categories is a useful developmental approach for examining children's understanding of pictoral humor, and further study is recommended.  相似文献   

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