患有严重心血管疾病的儿童的语言发展轨迹.
Alexa C Escapita1, Anna Caroline Gregg2, Kelsey Lambou3
1Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Cardiology in the young
|March 26, 2025
概括
患有严重先天性心脏病 (CHD) 的儿童在18个月时表现出可检测的语言延迟,影响神经发育结果. 早期的语言查对于及时干预和支持至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 发育儿科 发育儿科
- 神经发育障碍 神经发育障碍
背景情况:
- 医学进步为患有先天性心脏病 (CHD) 的儿童带来了高生存率 (95%).
- 心血管疾病幸存者面临不成比例的神经发育障碍,包括幼儿时的行为问题.
- 早期语言延迟与行为问题有关,这表明在关键性心血管疾病中存在潜在的语言缺陷.
研究的目的:
- 测试一种假设,即患有关键性心血管疾病的儿童表现出早期,可检测的语言缺陷.
- 想象患有严重心脏病的婴儿和幼儿的早期语言发育轨迹.
主要方法:
- 对27名患有严重心血管疾病 (单心室生理或大动脉转移) 的儿童进行了回顾性研究.
- 利用序列发育评估,特别是卡普特尺度的语言子部分.
- 分析了语言发育轨迹,并使用线性回归来对诊断特定的年龄等价值.
主要成果:
- 在这两个诊断组中,婴儿时期的语言发育与年龄相适应.
- 对于年龄相应的语言发展的偏差在18个月左右变得明显.
- 在研究的队列中,在30个月后观察到边界到轻度的语言延迟.
结论:
- 使用卡普特尺度量化了患有严重心血管疾病的婴儿和幼儿的早期语言发育.
- 发现语言技能获得的速度有所放缓,支持持续的神经发育监测的需要.
- 了解这些早期语言模式有助于临床医生为患有严重心血管疾病的儿童的家庭提供明智的指导.
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