目的总结近期院内0-36个月的新生儿与婴儿髋关节发育不良（developmental dysplasia of the hip,DDH）筛查情况,形成规范的新生儿与婴儿DDH筛查流程。方法我院出生新生儿由产科医师进行DDH的初步筛查,儿内科0-36个月住院患儿及儿外科0-3...目的总结近期院内0-36个月的新生儿与婴儿髋关节发育不良（developmental dysplasia of the hip,DDH）筛查情况,形成规范的新生儿与婴儿DDH筛查流程。方法我院出生新生儿由产科医师进行DDH的初步筛查,儿内科0-36个月住院患儿及儿外科0-36个月的门诊就诊患者分别由儿科医师、儿外科医师进行DDH的初步筛查,可疑或异常者转诊至我院儿童骨科复筛,由儿童骨科医师对转诊儿童再次进行临床检查,并行双髋关节B超或者X线片进一步检查,可疑者定期复查直至确诊或排除。结果 2012年1月至2014年12月,共筛查婴幼儿22 396例,2699例行髋关节B超筛查,B超检查可疑和异常591例（755髋）转诊到儿童骨科。可疑患儿中61例（89髋）Ortolani或Barlow试验阳性,94例（131髋）骨盆正位X线片显示髋臼发育不良,最终76例（121髋）确诊为DDH。其中男21例（29髋）,女55例（92髋）;左91髋,右30髋;1-6个月13例（其中新生儿3例）1.95‰（13/6676）,7-18个月49例7.09‰（49/6909）,19-36个月14例1.59‰（14/8811）,76例明确诊断DDH患儿中,7-18个月者49例,占64.47%;DDH的发病率为3.39‰（76/22 396）。结论本次筛查对象是0-36个月的新生儿与婴幼儿,这种筛查模式实现了对儿童DDH的早发现、早诊断,形成了符合本地区实际情况的规范筛查流程。展开更多
目的了解北京市3月龄内婴儿发育状况,探讨小月龄婴儿早期发育的影响因素。方法选取2020年8月至2021年2月在首都医科大学附属北京妇产医院儿童保健门诊进行健康检查的3月龄内婴儿2980例,采用现况研究设计,通过《年龄与发育进程问卷(第三...目的了解北京市3月龄内婴儿发育状况,探讨小月龄婴儿早期发育的影响因素。方法选取2020年8月至2021年2月在首都医科大学附属北京妇产医院儿童保健门诊进行健康检查的3月龄内婴儿2980例,采用现况研究设计,通过《年龄与发育进程问卷(第三版)》(Ages and Stages Questionnaires,ASQ-3)获得在沟通、粗大动作、精细动作、解决问题和个人-社会5个能区的发育情况,并分析3月龄内婴儿发育的影响因素。结果2980例婴儿在沟通、粗大动作、精细动作、解决问题和个人-社会能区低于界值的比率分别为1.2%、0.03%、1.4%、0.6%和3.2%。多重线性回归分析显示,3月龄内婴儿ASQ-3沟通能区得分与孕周(β=1.286,95%CI:0.862~1.709)和婴儿出生体质量(β=0.002,95%CI:0.000~0.003)呈正相关;粗大动作能区得分与性别(β=-0.671,95%CI:-1.211~-0.132)和产次(β=0.878,95%CI:0.104~1.652)有关;精细动作能区与产次(β=1.524,95%CI:0.663~2.384)呈正相关;解决问题能区与孕周(β=0.780,95%CI:0.386~1.175)、产次(β=1.166,95%CI:0.015~2.316)呈正相关,与母亲年龄(β=-0.179,95%CI:-0.294~-0.064)呈负相关;个人-社会能区得分与孕周(β=0.591,95%CI:0.261~0.921)、产次(β=1.135,95%CI:0.171~2.100)呈正相关,与孕次(β=-0.476,95%CI:-0.943~-0.009)呈负相关。结论应关注婴儿发育早期影响因素,做好孕期保健减少早产发生,促进婴儿早期心理行为发育。展开更多
<p style="text-align:justify;"> Early childhood development involves an appropriate global intervention concerning the different areas of development such as: physical, cognitive, language and socio-em...<p style="text-align:justify;"> Early childhood development involves an appropriate global intervention concerning the different areas of development such as: physical, cognitive, language and socio-emotional <span style="white-space:nowrap;"><a href="#ref1">[1]</a></span><span>. Especially during the first six years of life in an adequate environment rich in exchange and inter</span><span>action. We will present in this article a review of the literature concerning normal early childhood development, focus firstly in normal development’s steps, the importance of first experiences and first aid with a stable and caring attachment figure. second, we will describe the various developmental disorders, occurring during this age group which extends from birth to 6 years and based on the DSM5 classification, namely that developmental delay may concern only one aspect of development (e.g. language delay or motor delay specifically) or concern the different aspects of development (overall development delay). The dynamics of development is also important to clarify because schematically we contrast the pathologies fixed to progressive pathologies (where we find the concepts of stagnation or regression in the development of the child). We will discuss in the third chapter, the interest of early detection as well as the multiple clinical and psychometric diagnostic tools, which aim to detect any delay or disorder in order to initiate appropriate care and minimize the long-term consequences.</span> </p>展开更多
文摘目的总结近期院内0-36个月的新生儿与婴儿髋关节发育不良（developmental dysplasia of the hip,DDH）筛查情况,形成规范的新生儿与婴儿DDH筛查流程。方法我院出生新生儿由产科医师进行DDH的初步筛查,儿内科0-36个月住院患儿及儿外科0-36个月的门诊就诊患者分别由儿科医师、儿外科医师进行DDH的初步筛查,可疑或异常者转诊至我院儿童骨科复筛,由儿童骨科医师对转诊儿童再次进行临床检查,并行双髋关节B超或者X线片进一步检查,可疑者定期复查直至确诊或排除。结果 2012年1月至2014年12月,共筛查婴幼儿22 396例,2699例行髋关节B超筛查,B超检查可疑和异常591例（755髋）转诊到儿童骨科。可疑患儿中61例（89髋）Ortolani或Barlow试验阳性,94例（131髋）骨盆正位X线片显示髋臼发育不良,最终76例（121髋）确诊为DDH。其中男21例（29髋）,女55例（92髋）;左91髋,右30髋;1-6个月13例（其中新生儿3例）1.95‰（13/6676）,7-18个月49例7.09‰（49/6909）,19-36个月14例1.59‰（14/8811）,76例明确诊断DDH患儿中,7-18个月者49例,占64.47%;DDH的发病率为3.39‰（76/22 396）。结论本次筛查对象是0-36个月的新生儿与婴幼儿,这种筛查模式实现了对儿童DDH的早发现、早诊断,形成了符合本地区实际情况的规范筛查流程。
文摘目的了解北京市3月龄内婴儿发育状况,探讨小月龄婴儿早期发育的影响因素。方法选取2020年8月至2021年2月在首都医科大学附属北京妇产医院儿童保健门诊进行健康检查的3月龄内婴儿2980例,采用现况研究设计,通过《年龄与发育进程问卷(第三版)》(Ages and Stages Questionnaires,ASQ-3)获得在沟通、粗大动作、精细动作、解决问题和个人-社会5个能区的发育情况,并分析3月龄内婴儿发育的影响因素。结果2980例婴儿在沟通、粗大动作、精细动作、解决问题和个人-社会能区低于界值的比率分别为1.2%、0.03%、1.4%、0.6%和3.2%。多重线性回归分析显示,3月龄内婴儿ASQ-3沟通能区得分与孕周(β=1.286,95%CI:0.862~1.709)和婴儿出生体质量(β=0.002,95%CI:0.000~0.003)呈正相关;粗大动作能区得分与性别(β=-0.671,95%CI:-1.211~-0.132)和产次(β=0.878,95%CI:0.104~1.652)有关;精细动作能区与产次(β=1.524,95%CI:0.663~2.384)呈正相关;解决问题能区与孕周(β=0.780,95%CI:0.386~1.175)、产次(β=1.166,95%CI:0.015~2.316)呈正相关,与母亲年龄(β=-0.179,95%CI:-0.294~-0.064)呈负相关;个人-社会能区得分与孕周(β=0.591,95%CI:0.261~0.921)、产次(β=1.135,95%CI:0.171~2.100)呈正相关,与孕次(β=-0.476,95%CI:-0.943~-0.009)呈负相关。结论应关注婴儿发育早期影响因素,做好孕期保健减少早产发生,促进婴儿早期心理行为发育。
文摘<p style="text-align:justify;"> Early childhood development involves an appropriate global intervention concerning the different areas of development such as: physical, cognitive, language and socio-emotional <span style="white-space:nowrap;"><a href="#ref1">[1]</a></span><span>. Especially during the first six years of life in an adequate environment rich in exchange and inter</span><span>action. We will present in this article a review of the literature concerning normal early childhood development, focus firstly in normal development’s steps, the importance of first experiences and first aid with a stable and caring attachment figure. second, we will describe the various developmental disorders, occurring during this age group which extends from birth to 6 years and based on the DSM5 classification, namely that developmental delay may concern only one aspect of development (e.g. language delay or motor delay specifically) or concern the different aspects of development (overall development delay). The dynamics of development is also important to clarify because schematically we contrast the pathologies fixed to progressive pathologies (where we find the concepts of stagnation or regression in the development of the child). We will discuss in the third chapter, the interest of early detection as well as the multiple clinical and psychometric diagnostic tools, which aim to detect any delay or disorder in order to initiate appropriate care and minimize the long-term consequences.</span> </p>
