产时轻度窒息对婴儿运动发育的影响

Impact of Mild Asphyxia in Delivery on Motor Development

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。

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.