Abstract
Objective To analyze the factors and prevention of children's global developmental delay(GDD).Methods A total of 160 cases of children with GDD diagnosed and treated in Central Hospital of Enshi Tujia and Miao Autonomous Prefecture from January 2014 to December 2016 were selected as observation group,and 80 cases of normal children taking healthy examination at the same period in the hospital were chosen as control group.Risk factors of GDD were analyzed.According to different treatment options in observation group,GDD patients were divided into individualized intervention group of 98 cases and family intervention group of 62 cases.After 6 months of intervention,development of all GDD children was assessed,and total development quotient was calculated.Results There were no significant differences between two groups in maternal childbirth age and education level(χ2 value was 0.086 and 0.147,respectively,both P> 0.05).Incidences of pregnancy complications,gestational week less than 37 weeks,perinatal asphyxia,low birth weight,intrauterine growth retardation,threatened abortion,neonatal hypoxic-ischemic encephalopathy in the observation group were significantly higher than those in the control group(χ2value was 16.875,17.828, 7.212,11.130,12.987,8.943 and 7.733,respectively,all P < 0.05).Complications during pregnancy,intrauterine growth retardation,perinatal asphyxia,and gestational age less than 37 weeks were independent risk factors for GDD.After intervention, gross motor(GM),fine motor(FM),adaptability(AD),language(L),personal social life(PS)and developmental quotient (DQ)scores after intervention in individualized intervention group increased significantly compared with those before intervention (t value was -4.388,-8.793,-8.953,-6.441,-5.390 and -7.527,respectively,all P<0.05),while indicators in family intervention group had no obvious change,and difference was not statistically significant(t value was -0.369,-0.778,-0.822,-0.564,-0.402, -0.912 respectively,all P> 0.05).After intervention,indicators in individualized intervention group were significantly higher than those in family intervention group(t value was 3.218,6.351,7.560,4.467,4.817 and 5.953,respectively, all P<0.05).Conclusion Complications of pregnancy,intrauterine grow th retardation,perinatal asphyxia and gestational age less than 37 weeks are independent risk factors for GDD.Early individualized intervention treatment can effectively promote the development of intelligence and exercise ability in children with GDD and improve prognosis of children.关键词
全面发育迟缓/独立危险因素/妊娠期并发症/宫内发育迟滞Key words
global developmental delay(GDD)/independent risk factors/pregnancy complications/introuterine growth retardation分类
医药卫生
