《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (03): 323-325.

• 临床研究 • 上一篇    下一篇

产时轻度窒息对婴儿运动发育的影响

于颖
   

  1. 首都医科大学附属北京妇产医院，北京市100026。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-03-25 发布日期:2015-03-25

Impact of Mild Asphyxia in Delivery on Motor Development

YU Ying
   

  1. Beijing Maternity Hospital, Capital Medical University, Beijing 100026
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-03-25 Online:2015-03-25

PDF (PC)

被引次数

1

摘要： 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。

关键词: 产期窒息, 轻度, 运动功能, 角弓反张, 腰背肌力量

Abstract: 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 Neuropsychological 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 Intrapartum mild asphyxia may infulence the motor development of infant in long-term.

Key words: intrapartum asphyxia, mild, motor function, opisthotonos, back muscle strength