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产时轻度窒息对婴儿运动发育的影响

         

摘要

Objective To explore the impact of intrapartum mild asphyxia on motor development in infants. Methods 30 infants with any of the following were as asphyxia group:heart rate more than 160 beats/min in the process of childbirth, and then down to 70-80 beats/min, no cyanose;Apgar score 1 min more than 8. Other 30 normal infants were as control group. They were assessed with Neuropsychologi-cal Development Scale for 0-6 Years Old 3, 6 and 9 months after birth. Results Opisthotonos was more frequent in the asphyxia group than in the control group (P<0.01) 3 months after birth, but there was no significant difference in total score (P>0.05). Sitting forward was more frequent in the asphyxia group 6 months after birth, and the score of motor was less in the asphyxia group than in the control group (P<0.05). More of the asphyxia group couldn't stand with help, and with poor motor score 9 months after birth (P<0.05). Conclusion Intrapar-tum mild asphyxia may infulence the motor development of infant in long-term.%目的:探讨产时轻度窒息对婴儿运动发育的影响。方法选取母孕期无任何异常表现、胎儿发育正常、足月,且产时出现以下情况的新生婴儿30名为窒息组:娩出过程中胎心率增加,心率>160次/min,然后心率减慢,降到70~80次/min,生后无青紫;Apgar评分1 min>8分。选取30名无窒息的正常婴儿作为对照组。分别在婴儿3个月、6个月和9个月时使用0~6岁小儿神经心理发育量表进行运动功能的评估。结果3个月时,窒息组出现角弓反张人数明显高于对照组(P<0.01),运动评分无显著性差异(P>0.05);6个月时窒息组坐位身体前倾过度明显高于对照组(P<0.01),运动评分低于对照组(P<0.05);9个月时窒息组扶物站立不能明显高于对照组(P<0.01),运动评分低于对照组(P<0.05)。结论产时轻度窒息对婴儿运动功能的发育可能存在远期影响。

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