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【目的】初步探讨儿童发育性协调障碍(developmental coordination disorder,DCD)的孕产期危险因素,为在国内开展DCD的预防和干预提供线索。【方法】在苏州市区选择一幼儿园339名儿童,采用结构式问卷对其父母进行调查。DCD筛查采用儿童发育协调障碍评估工具(Movement Assessment Battery for Children,M-ABC)。采用单因素和多因素的非条件Logistic回归模型分析DCD的危险因素。【结果】在控制了儿童性别、年龄、家庭文化和经济水平以及其他纳入分析的因素后,母亲妊娠时间大于(aOR=6.075,P=0.005)或小于(aOR=3.917,P=0.034)最佳年龄者,急性胎儿宫内窘迫史(aOR=4.415,P=0.018)和儿童出生体重(aOR=4.562,P=0.014)与DCD相关。【结论】母亲妊娠时年龄、急性胎儿宫内窘迫史和儿童出生体重可能是孕产期DCD的主要危险因素。
【Objective】 To investigate the risk factors of pregnancy and childbirth in children with developmental coordination disorder (DCD) and provide clues for the prevention and intervention of DCD in China. [Methods] A total of 339 children in a kindergarten were selected in Suzhou urban area and their parents were investigated by structured questionnaire. DCD screening using Movement Assessment Battery for Children (M-ABC). Univariate and multivariate non-conditional logistic regression models were used to analyze the risk factors for DCD. [Results] Maternal gestational age was greater than (aOR = 6.075, P = 0.005) or less (aOR = 3.917, P = 0.034) after controlling for factors such as sex, age, family culture and economic status of children and other factors included in the analysis Age, acute history of fetal distress (aOR = 4.415, P = 0.018), and child birth weight (aOR = 4.562, P = 0.014) were associated with DCD. 【Conclusion】 Maternal age at birth, history of acute fetal distress and birth weight may be the main risk factors for DCD during pregnancy.