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背景:先兆流产是一种高风险的妊娠期病变,通常采用的各种医学方法,具有很好的保胎作用,但在保留一个新生命的同时,是否能保证新生儿全面健康的发展,尤其是对于具有长期影响作用的智慧能力的正常发展,会产生何种效应,是值得探讨研究的一个重要问题。目的:了解先兆流产保胎儿童智力水平与正常足月顺产儿童的差异,及其影响因素。设计:以儿童为研究对象的病例-对照研究,观察对比研究。单位:一所师范大学的心理学系、一所区级妇幼保健院的妇儿科。对象:母亲有妊娠期先兆流产病史,经保胎足月顺产的5～7岁儿童170名;同期出生,母亲无妊娠期先兆流产病史,正常足月顺产的5～7岁儿童182名。两类受测对象均无影响其智慧能力发展的其他情况。方法:采用中国韦氏幼儿智力量表(C-WYCSI,适用于6岁以下儿童),韦氏儿童智力量表(WISC-CR,适用于6岁以上儿童,含6岁儿童),由受过训练的心理系三年级学生,对每个受测者作个别测验。主要观察指标:①两类受测儿童智力发展水平(智力测验所测得的智商分数)。②性别、年龄和出生体质量、母亲的怀孕年龄对两类受测儿童智力发展水平的影响。结果:①未发现典型的智力落后或智力超常的儿童,所有受测儿童的智商分数都在正常范围(100±2SD,SD=15)之内;②先兆组儿童的智商平均分数明显低于正常
BACKGROUND: Threatened abortion is a high-risk pregnancy disease. The commonly used medical methods have very good miscarriage abilities. However, while maintaining a new life, it can ensure the overall healthy development of the newborn, especially It is an important issue worthy of studying and researching for what kind of effect will be produced for the normal development of the intellectual ability with long-term influence. Objective: To understand the difference between intelligence level of threatened abortion fetus children and normal term full-term children, and its influencing factors. Design: case-control study of children, comparative study observed. Unit: Department of Psychology, a normal university, a district-level MCH. PARTICIPANTS: The mothers had a history of threatened abortion during pregnancy. The children aged 5 to 7 years were born in the same period with full term spontaneous birth. The mothers had no history of threatened abortion during pregnancy, and 182 children aged 5 to 7 years were born in full term. There were no other conditions that affected the development of their intelligence ability in both types of subjects. Methods: Wechsler Intelligence Checklist (C-WYCSI), WISC-CR (WISC-CR, applicable to children over 6 years old and 6 years old children), trained by the trained Psychology Year 3 students, each subject for individual test. MAIN OUTCOME MEASURES: ① The level of intelligence development of two kinds of tested children (IQ score measured by intelligence test). ②The influence of gender, age and birth weight, mother’s pregnant age on the level of intelligence development of two kinds of tested children. Results: ① No typical children with mental retardation or mental retardation were found. IQ scores of all tested children were within the normal range (100 ± 2 SD, SD = 15); ② IQ scores of children in preeclampsia were significantly lower than normal