Kvigne Valborg L, Leonardson Gary R, Neff-Smith Martha, Brock Ellen, Borzelleca Joseph, Welty Thomas K
Aberdeen Area Indian Health Service, PHS Indian Hospital, Rapid city, South Dakota, USA.
J Pediatr. 2004 Nov;145(5):635-40. doi: 10.1016/j.jpeds.2004.07.015.
To describe the clinical features and hospitalization rates of American Indian children with full or incomplete fetal alcohol syndrome (FAS).
Two retrospective case-control studies were conducted of Northern Plains American Indian children with presumed FAS identified from 1981 to 1993 by using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), code 760.71. Children who had full or incomplete FAS were compared with each other and with children who did not have FAS.
Compared with the control children, the 43 children with FAS and the 35 children with incomplete FAS had more facial dysmorphology, growth deficiency, central nervous system dysfunction, and muscular problems and were hospitalized more frequently with otitis media, pneumonia, FAS, dehydration, and anemia. Case children were hospitalized more days than were control children. Case children were removed from their homes and placed in foster care more often than were control children.
Children with full or incomplete FAS had many health, learning, and social needs. Health care providers and community programs should identify the needs of these children and offer optimal services to meet those needs.
描述患有完全型或不完全型胎儿酒精综合征（FAS）的美国印第安儿童的临床特征及住院率。
对1981年至1993年期间通过使用国际疾病分类第九版临床修订本（ICD-9-CM）编码760.71确诊为疑似FAS的北部平原美国印第安儿童进行了两项回顾性病例对照研究。将患有完全型或不完全型FAS的儿童相互比较，并与未患FAS的儿童进行比较。
与对照儿童相比，43名患有FAS的儿童和35名患有不完全型FAS的儿童面部畸形、生长发育迟缓、中枢神经系统功能障碍和肌肉问题更多，因中耳炎、肺炎、FAS、脱水和贫血住院的频率更高。病例组儿童的住院天数多于对照组儿童。病例组儿童比对照组儿童更常被带离家庭并送入寄养机构。
患有完全型或不完全型FAS的儿童有许多健康、学习和社会需求。医疗保健提供者和社区项目应识别这些儿童的需求，并提供最佳服务以满足这些需求。
