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极低出生体重儿9岁时的发育协调障碍

Developmental coordination disorder in extremely low birth weight children at nine years.

作者信息

Holsti Liisa, Grunau Ruth V E, Whitfield Michael F

机构信息

Occupational Therapy Department and Neonatal Follow-Up Programme, British Columbia's Children Hospital, Vancouver, Canada.

出版信息

J Dev Behav Pediatr. 2002 Feb;23(1):9-15. doi: 10.1097/00004703-200202000-00002.

DOI:10.1097/00004703-200202000-00002
PMID:11889346
Abstract

Developmental coordination disorder (DCD) is defined as an impairment in the development of motor coordination that interferes with academic achievement or activities of daily living (DSM-IV). DCD has been reported to affect 5% to 9% of children in the normal population. This study describes the prevalence of DCD in a cohort of extremely low birth weight children (ELBW, < or = l800 g) at 8.9 years of age, from which were excluded children with major impairments. Seventy-three children were included in the study group, along with 18 term-born, socially matched controls. Of the 73 ELBW children, 37 (51%) were classified as having DCD. ELBW children with DCD also had significantly lower Performance IQ (PIQ) scores and were more likely (43%) to have a learning difficulty in arithmetic than ELBW children who did not have DCD. This study found that DCD is a common problem in school-aged ELBW children.

摘要

发育性协调障碍(DCD)被定义为运动协调发育受损,这种受损会干扰学业成绩或日常生活活动(《精神疾病诊断与统计手册》第四版)。据报道,正常人群中5%至9%的儿童受DCD影响。本研究描述了一组极低出生体重儿(ELBW,≤1800克)在8.9岁时DCD的患病率,其中排除了有严重损伤的儿童。研究组纳入了73名儿童,还有18名足月出生、社会匹配的对照组儿童。在73名ELBW儿童中,37名(51%)被归类为患有DCD。与没有DCD的ELBW儿童相比,患有DCD的ELBW儿童的操作智商(PIQ)得分也显著更低,并且更有可能(43%)在算术方面存在学习困难。本研究发现,DCD在学龄期ELBW儿童中是一个常见问题。

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