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婴幼儿先天性心脏病合并认知及运动功能障碍的临床研究

, PP. 164-166

Keywords: 先天性心脏病,认知功能障碍,婴幼儿

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Abstract:

目的了解不同类型先天性心脏病(congenitalheartdisease,CHD)婴幼儿的认知及运动功能情况。方法收集我院2009年1月至2014年2月收治的CHD术前患儿164例资料,根据有无青紫分为青紫组(n=31)和非青紫组(n=133);又根据畸形复杂程度分为单纯型组(n=103)和复杂型组(n=61)。选取同期本科儿保门诊年龄3~30个月健康婴幼儿110例为对照组。由本科评估师在术前以贝利婴幼儿发展量表评估认知及运动功能情况并进行比较分析。结果青紫组与非青紫组患儿智力发展指数(mentaldevelopmentindex,MDI)及运动发展指数(psychomotorDevelopmentIndex,PDI)均低于健康婴幼儿(P<0.01),且青紫组低于非青紫组(P<0.01);单纯型组与复杂型组患儿MDI及PDI均低于健康婴幼儿(P<0.01),且复杂型组低于单纯型组(P<0.05)。结论CHD患儿3岁前即出现认知功能及运动障碍,障碍程度高于健康婴幼儿,其中青紫型CHD高于非青紫型,复杂型CHD高于单纯型。

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