Vanprapar Nirun, Kongstan Nantaka, Tritilanant Pisit, Kottapat Uraporn, Durier Yuitiang, Tritilanant Samrauy
Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2005 Nov;88 Suppl 8:S211-4.
Bayley Scales of Infant Development (BSID) is considered to be a standard test for child development. The test requires experienced evaluator and is time consuming; therefore, it is not easy to apply in busy clinic. The Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS) is an easy assessment method that has been demonstrated to correlate with BSID in many studies among normal and developmental delayed children, including in HIV-infected infants. We created a pilot system of CAT/CLAMS assessment applied to 16 HIV-infected infants ages 12-34 months. They were all in the normal range score of developmental quotient (DQ). However, longitudinal follow-up by CAT/CLAMS assessment is needed in these HIV-infected children. When DQ score is below 70 (assuming to be delayed development), the child should be evaluated by BSID. In this way delayed development can be screened easily and early developmental stimulation program can be implemented appropriately.
贝利婴儿发展量表（BSID）被认为是儿童发展的标准测试。该测试需要经验丰富的评估人员，且耗时较长；因此，在繁忙的诊所中不易应用。认知适应性测试/临床语言和听觉里程碑量表（CAT/CLAMS）是一种简便的评估方法，在许多针对正常儿童和发育迟缓儿童（包括感染艾滋病毒的婴儿）的研究中，已证明其与BSID具有相关性。我们创建了一个CAT/CLAMS评估试点系统，应用于16名年龄在12至34个月的感染艾滋病毒的婴儿。他们的发育商（DQ）得分均在正常范围内。然而，这些感染艾滋病毒的儿童需要通过CAT/CLAMS评估进行纵向随访。当DQ得分低于70（假设为发育迟缓）时，应通过BSID对儿童进行评估。通过这种方式，可以轻松筛查出发育迟缓，并适当实施早期发育刺激计划。
