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手术产对婴幼儿智能发育的影响

Effects of operation birth on the mental developent of babies and children

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【作者】 段佩兰; 黄玉梅; 何香荣; 李子森; 徐风英;

【Author】 Duan Peilan;Huang Yumei;He Xiangrong;Li Zishen;Xu Fengying Department of Pediatrics Department of Obstetrics,The First Affiliated Hospital ofHenan Medical University

【机构】 河南医科大学一附院儿科; 河南医科大学二附院妇产科; 河南医科大学二附院妇产科;

【摘要】 本文报告了197例手术产小儿,按盖泽尔发育诊断进行了测试,以了解各种手术产及其产前发病因素对小儿智能发育的影响。结果197人中24人在四能区有1~3项测得的发育商在正常值以下。各种手术产对智能的影响:臀牵引占29.4%(5/17);剖宫产占12.8%(11/86);头吸引占8.9%(7/78);产钳占6.2%(1/16),自然分娩占9.6%(32/331)。4组与对照组比较有非常显著差异。影响各能区共有31项次,其中言语能落后者15项次,动作能8项次,应物能7项次,应人能1项次。初步认为臀牵引对智能发育影响最大,剖宫产次之,头吸引又次之。影响各能区以言语能最多,占15项次,符合盖泽尔指出的言语能可为小儿神经系统发育提供信息的规律。

【Abstract】 In this article 197 cases of operation- births are reviewed according to Gesell development forthe purposes of studying the effects of various operation-birth and the disease-causing factorsbefore labour on children’s mental development. The result showed that one to three de-velopment quotients of 24 out of the 197 children or babies were below the average level in thefour ability areas. The effect of various operation-births on mental development was asfollows: buttock traction accounted for 29.4%(5/17), caesarean birth 12.8%(11/86). headaspiration 8.9%(7/78), and forceps delivery 6.2% (1/16). Natural birth as control amoun-ted to 9.6%(32/331). The differences between the control and the four groups was sig -nificant. There were 31 item- times (I.T) could affect the ability areas. Of the 31 I.T,,language slowness accounted for 15 I.T, slowness in action 8 I.T, inferior response tothings 7 I.T, inferior response to people 1 I.T. It is believed that buttock traction has thegreatest effect on mental development, caesarean birth takes the second place, and headaspiration the third. The afea of language ability influenced all areas of ability the most,amounting to 15 I.T. That is just in accordance with Gesell’s view point that language ability can providethe law of information for the development of the nervous system.

【关键词】 手术产; 智能发育; 发育;
【Key words】 birth by operation; mental-development; development;
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