3～6月龄婴儿Hammersmith婴儿神经检查最优评分影响因素分析

doi:10.11852/zgetbjzz2021-1214

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (6): 677-679.DOI: 10.11852/zgetbjzz2021-1214

3～6月龄婴儿Hammersmith婴儿神经检查最优评分影响因素分析

申家建, 单玲, 贾飞勇, 李洪华

吉林大学第一医院发育行为儿科,吉林长春 130000

收稿日期:2021-08-10 修回日期:2021-09-28 发布日期:2022-06-28 出版日期:2022-06-10
通讯作者: 李洪华, E-mail honghua_li1986@jlu.edu.cn
作者简介:申家建(1984-),男,辽宁人,主管治疗师,本科学历,主要研究方向为高危儿早期评估与干预。

Influencing factors of optimal score of Hammersmith Infant Neurological Examination in infants aged 3 to 6 months

SHEN Jia-jian, SHAN Ling, JIA Fei-yong, LI Hong-hua

Department of Developmental Behavior Pediatrics, the First Hospital of Jilin University, Changchun, Jilin 130000, China

Received:2021-08-10 Revised:2021-09-28 Online:2022-06-10 Published:2022-06-28
Contact: LI Hong-hua, E-mail: honghua_li1986@jlu.edu.cn

摘要/Abstract

摘要： 目的分析影响3～6月龄婴儿Hammersmith婴儿神经检查(HINE)最优评分的相关因素,为早期干预介入提供相关依据。方法选取2019年8月—2021年2月在吉林大学第一医院发育行为儿科接受HINE评估的3～6月龄婴儿145例,其中正常组70例,异常组75例。将可能影响HINE最优评分的孕期及围生期的22种相关影响因素进行调查。结果异常组胎儿宫内窘迫、羊水异常、出生窒息、颅内出血、新生儿惊厥发生率明显高于正常组(χ²=6.24、6.05、5.51、12.91,P＜0.05)。多元Logistic回归分析显示,羊水异常(OR=3.38,95%CI:1.38～8.29)、颅内出血(OR=4.09,95%CI:1.59～10.49)、新生儿惊厥(OR=11.62,95%CI:2.43～55.55)是3～6月龄婴儿HINE最优评分的独立影响因素(P＜0.05)。结论应对围生期存在羊水异常、颅内出血、新生儿惊厥的小婴儿给予早期筛查和干预。

关键词: Hammersmith婴儿神经检查, 发育水平, 婴儿

Abstract: Objective To analyze the related factors affecting the optimal score of Hammersmith Infant Neurological Examination (HINE) of 3- to 6-month-old infants, so as to provide basis for early intervention.Methods A total of 145 infants aged 3 to 6 months who received HINE evaluation in the Department of Developmental Behavior Pediatrics, the First Hospital of Jilin University from August 2019 to February 2021 were selected, including 70 infants in normal group and 75 infants in abnormal group. A total of 22 related factors that may affect the optimal score of HINE during pregnancy and perinatal period were investigated.Results The prevalence rates of intrauterine distress, amniotic fluid abnormality, birth asphyxia, intracranial hemorrhage and neonatal convulsion in abnormal group were significantly higher than those in normal group (χ²=6.24, 6.05, 5.51, 12.91, P<0.05). Multiple Logistic regression analysis showed that amniotic fluid abnormality(OR=3.38, 95%CI:1.38 - 8.29), intracranial hemorrhage(OR=4.09, 95%CI:1.59 - 10.49) and neonatal convulsion(OR=11.62, 95%CI:2.43 - 55.55) were independently risk factors for the optimal score of Hammersmith Infant Neurological Examination (HINE) (P＜0.05). Conclusion Early screening and intervention should be given to infants with amniotic fluid abnormality, intracranial hemorrhage and neonatal convulsion.

Key words: Hammersmith Infant Neurological Examination, developmental level, infants

中图分类号:

R174

申家建, 单玲, 贾飞勇, 李洪华. 3～6月龄婴儿Hammersmith婴儿神经检查最优评分影响因素分析[J]. 中国儿童保健杂志, 2022, 30(6): 677-679.

SHEN Jia-jian, SHAN Ling, JIA Fei-yong, LI Hong-hua. Influencing factors of optimal score of Hammersmith Infant Neurological Examination in infants aged 3 to 6 months[J]. Chinese Journal of Child Health Care, 2022, 30(6): 677-679.

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3～6月龄婴儿Hammersmith婴儿神经检查最优评分影响因素分析

Influencing factors of optimal score of Hammersmith Infant Neurological Examination in infants aged 3 to 6 months

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