论文部分内容阅读
目的:评价上海市新生儿PKU筛查实施的效果,分析是否达到了筛查的最终目的。方法:对患儿进行现场体检和智力评测。依据上海市1995年儿童体格发育指标评价和1995年全国城市儿童体格发育评价指标为每例患儿的体重、身高、头围、胸围进行百分位数评分;智测方面,对4岁以下患儿采用DST量表评测,大于4岁患儿采用PPVT量表评测。结果:大多数PKU患儿的生长发育指标、智能能够达到同龄人水平;PKU患儿平均智商(IQ)达到86,IQ最小值为40,最大值为122。结论:早期干预和坚持规范化治疗是影响治疗效果的关键因素。在今后的干预治疗工作中,还需加强对患儿的心理辅导与测评。
OBJECTIVE: To evaluate the effect of PKU screening in newborns in Shanghai and analyze whether the ultimate goal of screening is reached. Methods: Children’s physical examination and intelligence evaluation. According to the Shanghai Children’s Physical Development Index Evaluation in 1995 and the National City Children’s Physical Development Evaluation Index in 1995, the weight, height, head circumference and chest circumference of each child were evaluated as percentiles. In terms of intelligence test, Children using DST scale evaluation, more than 4-year-old children with PPVT scale assessment. Results: The growth and development of most children with PKU were able to achieve the same level of intelligence. The average IQ of PKU children was 86, the minimum IQ was 40 and the maximum was 122. Conclusion: Early intervention and adherence to standardized treatment are the key factors affecting the therapeutic effect. In the future intervention treatment, but also need to strengthen the psychological counseling and evaluation of children.