目的 了解民乐县6岁以下儿童智能发育状况,分析可能的影响因素.方法 收集民乐县妇幼保健院2016-2018年的儿童丹佛发育筛查测验(DDST)结果,分析儿童智能发育状况及影响因素.结果 668名儿童中,筛查阳性117名,阳性率为17.51％.不同性别儿童筛查阳性率比较差异无统计学意义(P＞0.05),不同年龄、地区儿童筛查阳性率比较差异均有统计学意义(均P＜0.05).不同出生体质量儿童筛查阳性率比较差异有统计学意义(P＜0.05),不同胎次、不同产次、不同分娩方式、不同出生月份儿童筛查阳性率比较差异均无统计学意义(均P＞0.05).合并新生儿抽搐者筛查阳性率较高,合并新生儿黄疸和新生儿窒息者与未合并新生儿黄疸和新生儿窒息者筛查阳性率比较差异均无统计学意义(均P＞0.05).地区、低出生体质量为DDST筛查阳性的影响因素.结论 民乐县儿童DDST筛查阳性率较高,值得重视;要着重提高农村儿童和女童的筛查率;低出生体质量儿DDST筛查异常的风险增加.

Objective To identify influencing factors of neonatal behavioral and neurological ability ( NBNA) assessment in single full term neonates .To provide evidence for detection and intervention of abnormal brain growth in neonates.Methods A total of 3 035 single full term neonates were evaluated at 3 days after birth in Minle County Maternal and Child Health Hospital from Dec.2010 to May 2013.NBNA (20 items) was used to evaluate the behavioral and neurological ability .Results The NBNA unqualified rate was 19.60%, while 75.53%for low birth weight neonates .By multiple logistic regression analysis , risk factors for unqualified NBNA were low birth weight and long gestational weeks, with OR of 17.39 (95%CI:10.36~29.20) and 1.12(95%CI:1.02~1.23) respectively. Mother with advance education were more unlikely for unqualified NBNA ( OR =0.41, 95%CI:0.21 ~0.81 ) . Conclusion Low birth weight is an important risk factor for unqualified NBNA , and mother with advanced education could reduce NBNA unqualified rate .