关键词: 神经心理发育, 发育评估, 6~36月龄婴幼儿

Abstract: Objective To explore the current situation and related influencing factors of neuropsychological development among 6 to 36-month-old infants in Kunming,in order to provide reference for facilitating neurodevelopment of children. Methods A total of 310 infants aged 6-36 months were selected as participants in the department of preventive healthcare,Yan'an Hospital Affiliated to Kunming Medical University from August 2016 to July 2017. Data on history of delivery/disease,pregnancy complications,family status and main caregiver were collected through questionnaire survey. Developmental Screening Test for children under six (DST) was used to conduct neuropsychological test among these infants. The weight-for-age,length-for-age,head circumference-for-age were used to evaluate physical development. Multi-factor ordinal logistic regression analysis was used to screen the influencing factors for neuropsychological development among infants. Results The rates of "normal(DQ≥85)","suspicious(70≤DQ≤84)","abnormal(DQ<70)" on development quotient (DQ) in 310 infants were 51.0%,40.3% and 8.7%,respectively,while 75.2%,18.7% and 6.1% on MI (mental index). And 61.3% of infants had gross motor delays. Multi-factor ordinal Logistic regression analysis showed those DQ delays were significantly associated with gender (OR=0.453,95%CI:0.245-0.839),low birth weight (OR=0.150,95%CI:0.019-0.968),elderly childbirth (OR=0.216,95%CI:0.055-0.852),without siblings (OR=0.459,95%CI:0.237-0.887).Maternal unemployed (OR=2.487,95%CI:1.247-4.963) were protective factor to DQ delay. Conclusion It is suggested to pay more attention to influencing factors and take measures to improve the neuropsychological development of infants.

Key words: neuropsychological developmental, development evaluation, infants aged 6-36 months