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[有极早产史的学龄前儿童的语言困难]

[Language difficulties in preschool children with a history of extreme prematurity].

作者信息

Maggiolo L Mariangela, Varela M Virginia, Arancibia S Claudia, Ruiz M Felipe

出版信息

Rev Chil Pediatr. 2014 Jun;85(3):319-27. doi: 10.4067/S0370-41062014000300008.

Abstract

INTRODUCTION

Preterm infants are prone to present language development difficulties. There is evidence that verbal deficits are common and adversely affect social interaction as well as school learning. In Chile, these skills are not evaluated by the premature follow-up program; therefore, the extent of this problem is unknown. The objective of this study is to describe the language difficulties of a group of preschoolers with a history of extreme prematurity.

PATIENTS AND METHODS

Thirty children aged 4 and 5 years old, with a history of extreme prematurity, but without severe neurological damage or hearing loss were evaluated through language tests at the Premature Follow-up Polyclinic of the Eastern Cordillera Health Reference Center.

RESULTS

73.3% of the children assessed had deficits in some area of the language. Of these, 77.3% had comprehensive and expressive difficulties. In this group, 86.4% showed significant difficulties in narrative skills.

DISCUSSION

A high preterm infant proportion presents language difficulties in preschool, resulting in the need of including specific intervention programs that promote better language development for this population.

摘要

引言

早产儿容易出现语言发育困难。有证据表明,言语缺陷很常见,会对社交互动以及学校学习产生不利影响。在智利,早产随访项目并未对这些技能进行评估;因此,这个问题的严重程度尚不清楚。本研究的目的是描述一组有极早产史的学龄前儿童的语言困难情况。

患者与方法

在东科迪勒拉健康参考中心的早产随访综合门诊,对30名4至5岁、有极早产史但无严重神经损伤或听力丧失的儿童进行了语言测试。

结果

73.3%接受评估的儿童在语言的某些方面存在缺陷。其中,77.3%存在理解和表达困难。在这组儿童中,86.4%在叙事技巧方面存在显著困难。

讨论

很大一部分早产儿在学龄前存在语言困难,因此需要纳入特定的干预项目,以促进这一群体更好地发展语言能力。

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