妊娠高血压综合征患者婴幼儿的智力发育随访研究

The Follow-up Research on the Intelligence Development of Infant from Pregnancy-induced Hypertension Partiuents

目的 随访 1 56例妊娠高血压综合征 (简称妊高征 )患者所生婴幼儿的智力、体格发育的状况 ,探讨促进妊高征患者婴幼儿智力发育措施 ,为今后妊高征婴幼儿管理提供依据。 方法 对妊高征患者婴幼儿和同期正常妊娠婴幼儿出生后 1、2、3岁时 ,用“儿 -心、精神发育量表”随访婴幼儿智力及体格发育状况。结果 妊高征组婴幼儿智力及体格发育 (身高、体重 )与正常妊娠组比较 ,差异有非常显著性 ( P<0 .0 1 )。重度妊高征患者新生儿 Apgar评分 5min低于 7分的 2 4例中 ,婴幼儿至 3岁时有 6例智力、体格发育差。 结论 防治妊高征患者新生儿窒息、加强重度窒息儿的监护、治疗 ,根据致婴幼儿智力落后的因素进行教育 ,是促进妊高征患者婴幼儿智力、体格发育 ,减少发生后遗症的重要措施。

Objective To follow up the intelligence and physical development of 156 infants borne from PIH mothers; to study the measures to improve their ntellectual development and provide basis for the management fo the infant from PIH partiuents. Methods By using the physical intelligential development investigation table we followed up the intellectual and physical development of the infants in PIH group and the normal group at the age of one, two and three years old. Results There were significant differences between PIH gr development ( P <0.01). Among 24 newborns of severe PIH with 5 minute Apgar<7, 6 cases had worse intellectual and physical development at 3 years old. Conclusion It is very important to prevent and treat the newborn asphyxia actively? strengthen intensive care to severe asphyxia newborn, and educate according to the infants' intellectual development in improving the infants' intellectual and physical development from PIH mothers and decreasing the occurrence of sequelae.