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在6岁之前对神经发育障碍的发育查:全国性的健康查计划

Jong Ho Cha¹, Soorack Ryu², Minjung Park³

¹Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.

Pediatric research

|September 11, 2024

概括

在24个月之前的早期发育查有效地识别了幼儿的神经发育障碍 (NDD). 总运动延迟预测了以后的NDD,而语言延迟表明了自闭症谱系障碍和发育性语言障碍的风险.

科学领域:

儿科发育查儿童发育查
神经发育障碍的鉴定识别
公共卫生监督是对公共卫生的监督.

背景情况:

调查早期发育查与儿童晚期神经发育障碍 (NDD) 之间的联系.
评估在24个月前实施的发育查计划的有效性.

研究的目的:

确定9-12个月和18-24个月的发育查与4-6岁的NDD发病率之间的联系.
评估全国性发育查计划对NDD早期识别的影响.

主要方法:

利用从国家医疗保险服务 (NHIS) 数据库中2014-2016年间出生的922,899名新生儿的大量队列.
在9-12个月和18-24个月的婴儿和儿童 (K-DST) 进行韩国发育查测试.
根据NHIS数据库的ICD-10标准诊断NDD,对637277名被查的人进行了查.

主要成果:

在9-12个月内,粗运动延迟的屏幕阳性显著预测了自闭症谱系障碍 (ASD) 和脑.
在18-24个月时,语言延迟的屏幕阳性结果与以后的ASD和发育性语言障碍诊断有很强的联系.
该研究确定了早期发育查结果和随后对各种NDDs的诊断之间的显著关联.

结论:

在24个月之前在全国范围内实施发育查计划,可以有效地识别患有NDD的儿童.
将查计划与强大的转诊和干预系统相结合,对于最佳的儿童发展结果至关重要.
通过查计划早期发现发育迟缓,有助于及时干预和管理NDD.

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