Assistant Professor, Department of Psychiatry, Z H Sikder Women's Medical College and Hospital, Dhaka, Bangladesh; PhD Researcher, Department of Linguistics, University of Dhaka, Dhaka, Bangladesh.
Collaborating Researcher at Computation and Mathematics Department of FFCLRP-USP, Brazil; Assistant Ph.D. Professor at University of Ribeirao Preto, UNAERP, Brazil; Collaborating Researcher Institute of Languages Study, IEL-UNICAMP, Brazil.
Rev Colomb Psiquiatr (Engl Ed). 2024 Jul-Sep;53(3):238-245. doi: 10.1016/j.rcpeng.2023.01.001.
Neonatal hypoxic-ischemic encephalopathy after perinatal asphyxia causes neurolinguistic disturbances in children without disabilities. Poor academic performance appears as a long-term result. Language intervention is sought to reduce harmful effects on children. The aim of this study is showing the relationship between clinical conditions of hypoxic-ischemic-encephalopathy (HIE) and language disorders in children without disabilities. This cross-sectional study with a neurolinguistic approach was carried out in patients with perinatal asphyxia during childbirth, at the ZH Sikder Women's Medical College Hospital, Bangladesh. Respondents between 4 and 12 years, 76% underwent cranial computed tomography (CT); 82% underwent magnetic resonance imaging (MRI); and 70% underwent electroencephalogram (EEG). Among them were found positive results for neonatal hypoxia ischemic encephalopathy (EHI). These results are related to the following language disorders: reception/perception disorder (64%), sociolinguistic disorders (84%); metalinguistic competence disorder (66%); 86% of children had poor peer relationships and 72% had reading and writing disorders. Concluding, school-age children after perinatal asphyxia who developed Hypoxic-Ischemic Encephalopathy (HIE) had language disorders and poor school performance. There are still challenges to be overcome, as this is the first neurolinguistic approach in Bangladesh. More large-scale studies are needed.
围产期窒息后新生儿缺氧缺血性脑病导致无残疾儿童出现神经语言障碍。学习成绩差是其长期后果。寻求语言干预以减轻对儿童的有害影响。本研究旨在展示无残疾儿童缺氧缺血性脑病（HIE）的临床状况与语言障碍之间的关系。这是一项在孟加拉国 ZH Sikder 妇女医科大学医院进行的围产期窒息分娩患儿的横断面研究，采用神经语言学方法。受访者年龄在 4 至 12 岁之间，其中 76%接受了头颅计算机断层扫描（CT）；82%接受了磁共振成像（MRI）；70%接受了脑电图（EEG）检查。其中发现新生儿缺氧缺血性脑病（HIE）呈阳性结果。这些结果与以下语言障碍有关：接收/感知障碍（64%）、社会语言障碍（84%）；元语言能力障碍（66%）；86%的儿童同伴关系较差，72%的儿童读写障碍。结论：围产期窒息后发展为缺氧缺血性脑病（HIE）的学龄儿童存在语言障碍和学习成绩差。由于这是孟加拉国首次采用神经语言学方法，仍然存在挑战。需要进行更多的大规模研究。
