【摘要】 目的:探讨社会因素剖宫产对儿童体格与智力发育的影响。方法:采用前瞻性队列研究,确定社会因素剖宫产和顺产产妇队列(社会因素剖宫产组68例、顺产组65例),分别于出生时、18月龄、24月龄、30月龄、36月龄、42月龄时体格检查,24月龄时智力测验(采用Gesell评分)。结果:两队列均衡性较好(P>0.05),两组儿童在身高、体重、头围以及智力发育方面差异均无统计学意义。结论:社会因素剖宫产对42月龄以下的儿童体格发育未见显著性影响,社会因素剖宫产智力发育并不优于顺产,远期影响仍需扩大样本量以及继续随访研究。更多还原

【Abstract】 Objective:To explore the effect of elective cesarean section on physical and intellectual development in children.Methods:Using the prospective cohort study,a 133 newborn sample composed by 68 newborns delivered by cesarean section and 65 newborns by spontaneous delivery in a county of Chongqing was established from March to May,2002.Physical development index such as length,head circumference and body weight were measured at birth and on the 18,24,30,36 and 42-month-old,respectively.Intellectual development was tested by Gesell mark at 2 years old.Results:The factors had equilibrium in two cohorts(P>0.05).There had no significant difference of weight,height or length,head circumference and Intellectual development between the two groups.Conclusion:There’s no significant effect of cesarean section on physical growth of children below 4 years old.Intellectual development of the children delivered by cesarean section is no better than that of spontaneous delivery.Forward affect needs more samples and continual follow-up.更多还原