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发育迟缓的早期干预。

Early intervention in developmental delay.

作者信息

Kaur Paramleen, Chavan B S, Lata Sneh, Kaur Amandeep, Tinku Sophia, Arora Yashwant, Ratnam Vani

机构信息

Government Institute for Mentally Retarded Children (GIMRC), Sector 32, Chandigarh, India.

出版信息

Indian J Pediatr. 2006 May;73(5):405-8. doi: 10.1007/BF02758561.

Abstract

OBJECTIVES

To establish the socio-demographic and clinical profile of children attending Early Intervention Program (EIP).

METHODS

Retrospective analysis of case records of 100 consecutive children examined from July 2002 to June 2004. Data regarding socio-demographic variables, clinical profile, locomotor, speech and audiology functions were recorded. Data is described in terms of frequency and mean (with SD).

RESULTS

Mean age of these children was 4.0 +/- 1.4 years. 70% were male and a similar percentage hailed from urban areas. 88% were mentally retarded with mean IQ of 50 +/- 24.3. Cerebral Palsy was seen in 50% of the children, learning disorder in 24%, Attention Deficit Hyperactivity Disorder (ADHD) in 12% and autism in 4%. 25% of children suffered from epilepsy and 66% were unable to communicate verbally. 21% of children had strong evidence of genetic disorders. An etiological diagnosis could not be made in 31% of children.

CONCLUSIONS

Awareness of developmental delay as well as of possible interventions is low in India. Speech delay is the only delay which is considered important by parents. Active involvement and early referrals from pediatricians, obstetricians and other specialists is suggested.

摘要

目的

确定参加早期干预项目(EIP)儿童的社会人口统计学和临床特征。

方法

对2002年7月至2004年6月期间连续检查的100名儿童的病例记录进行回顾性分析。记录有关社会人口统计学变量、临床特征、运动、言语和听力学功能的数据。数据以频率和均值(标准差)描述。

结果

这些儿童的平均年龄为4.0±1.4岁。70%为男性,来自城市地区的比例相近。88%为智力发育迟缓,平均智商为50±24.3。50%的儿童患有脑瘫,24%患有学习障碍,12%患有注意力缺陷多动障碍(ADHD),4%患有自闭症。25%的儿童患有癫痫,66%无法进行言语交流。21%的儿童有明确的遗传疾病证据。31%的儿童无法做出病因诊断。

结论

在印度,对发育迟缓以及可能的干预措施的认识较低。言语迟缓是家长唯一认为重要的迟缓。建议儿科医生、产科医生和其他专科医生积极参与并尽早转诊。

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