AIM To investigate the effect of different neonatal risk factors on different language parameters as well as cognitive abilities among Arabic speaking Egyptian children at the age of two to three years of life and to ...AIM To investigate the effect of different neonatal risk factors on different language parameters as well as cognitive abilities among Arabic speaking Egyptian children at the age of two to three years of life and to find out which risk factor(s) had the greatest impact on language and cognitive abilities.METHODS This retrospective cohort study was conducted on 103 children with age range of 2-3 years(median age 31 mo).They were 62 males and 41 females who were exposed to different high-risk factors in the perinatal period,with exclusion of metabolic disorders,sepsis/meningitis,congenital anomalies and chromosomal aberrations.The studied children were subjected to a protocol of language assessment that included history taking,clinical and neurological examination,audiological evaluation,assessment of language using modified preschool language scale-4,IQ and mental age assessment and assessment of social age.RESULTS The studied children had a median gestational age of 37 wk,median birth weight of 2.5 kg.The distribution of the high-risk factors in the affected children were prematurity in 25 children,respiratory distress syndromein 25 children,hypoxic-ischemic encephalopathy in 15 children,hyperbilirubinemia in 10 children,hypoglycemia in 13 children,mixed risk factors in 15 children.The results revealed that high-risk neonatal complications were associated with impairment of different language parameters and cognitive abilities(P < 0.05).The presence of prematurity,in relation to other risk factors,increases the risk of language and cognitive delay significantly by 3.9 fold.CONCLUSION Arabic-speaking children aged 2-3 years who were exposed to high-risk conditions in the perinatal period are likely to exhibit delays in the development of language and impairments in cognitive abilities.The most significant risk factor associated with language and cognitive impairments was prematurity.展开更多
目的探讨妇幼健康信息化在高危孕产妇管理工作中的应用效果。方法选取2019年1—12月深圳市南山区妇幼保健院实施常规管理的100例高危孕产妇作为对照组,选取2020年1—12月深圳市南山区妇幼保健院实施妇幼健康信息化管理的100例高危孕产...目的探讨妇幼健康信息化在高危孕产妇管理工作中的应用效果。方法选取2019年1—12月深圳市南山区妇幼保健院实施常规管理的100例高危孕产妇作为对照组,选取2020年1—12月深圳市南山区妇幼保健院实施妇幼健康信息化管理的100例高危孕产妇中作为研究组。对比2组管理效果。结果研究组登记建档率、产检次数高于对照组,胎儿宫内窘迫、新生儿窒息发生率低于对照组(P<0.05)。研究组产妇急性事件总发生率为4.00%,低于对照组的15.00%(P<0.05)。管理后,研究组遵医嘱依从性(遵医嘱服药、科学运动、合理饮食、规律作息、自我管理)评分高于对照组,焦虑自评量表评分(self-rating anxiety scale,SAS)低于对照组(P<0.05)。出院时,研究组满意度(主动服务、健康宣教、交流能力、操作水平、环境评估)评分高于对照组(P<0.05)。管理后,研究组健康调查简表(the MOS item short fromhealth survey,SF-36)评分高于对照组(P<0.05)。结论高危孕产妇管理中使用妇幼健康信息化技术有利于提高管理效果,预防产妇急性事件的发生,改善产妇不良情绪,提高其遵医嘱依从性和生活质量,提高产妇对护理服务的满意度。展开更多
文摘AIM To investigate the effect of different neonatal risk factors on different language parameters as well as cognitive abilities among Arabic speaking Egyptian children at the age of two to three years of life and to find out which risk factor(s) had the greatest impact on language and cognitive abilities.METHODS This retrospective cohort study was conducted on 103 children with age range of 2-3 years(median age 31 mo).They were 62 males and 41 females who were exposed to different high-risk factors in the perinatal period,with exclusion of metabolic disorders,sepsis/meningitis,congenital anomalies and chromosomal aberrations.The studied children were subjected to a protocol of language assessment that included history taking,clinical and neurological examination,audiological evaluation,assessment of language using modified preschool language scale-4,IQ and mental age assessment and assessment of social age.RESULTS The studied children had a median gestational age of 37 wk,median birth weight of 2.5 kg.The distribution of the high-risk factors in the affected children were prematurity in 25 children,respiratory distress syndromein 25 children,hypoxic-ischemic encephalopathy in 15 children,hyperbilirubinemia in 10 children,hypoglycemia in 13 children,mixed risk factors in 15 children.The results revealed that high-risk neonatal complications were associated with impairment of different language parameters and cognitive abilities(P < 0.05).The presence of prematurity,in relation to other risk factors,increases the risk of language and cognitive delay significantly by 3.9 fold.CONCLUSION Arabic-speaking children aged 2-3 years who were exposed to high-risk conditions in the perinatal period are likely to exhibit delays in the development of language and impairments in cognitive abilities.The most significant risk factor associated with language and cognitive impairments was prematurity.
文摘目的探讨妇幼健康信息化在高危孕产妇管理工作中的应用效果。方法选取2019年1—12月深圳市南山区妇幼保健院实施常规管理的100例高危孕产妇作为对照组,选取2020年1—12月深圳市南山区妇幼保健院实施妇幼健康信息化管理的100例高危孕产妇中作为研究组。对比2组管理效果。结果研究组登记建档率、产检次数高于对照组,胎儿宫内窘迫、新生儿窒息发生率低于对照组(P<0.05)。研究组产妇急性事件总发生率为4.00%,低于对照组的15.00%(P<0.05)。管理后,研究组遵医嘱依从性(遵医嘱服药、科学运动、合理饮食、规律作息、自我管理)评分高于对照组,焦虑自评量表评分(self-rating anxiety scale,SAS)低于对照组(P<0.05)。出院时,研究组满意度(主动服务、健康宣教、交流能力、操作水平、环境评估)评分高于对照组(P<0.05)。管理后,研究组健康调查简表(the MOS item short fromhealth survey,SF-36)评分高于对照组(P<0.05)。结论高危孕产妇管理中使用妇幼健康信息化技术有利于提高管理效果,预防产妇急性事件的发生,改善产妇不良情绪,提高其遵医嘱依从性和生活质量,提高产妇对护理服务的满意度。
