{
  "abstract": "目的分析北京市西城区0～6岁儿童发育迟缓初筛、复筛结果，明确本辖区儿童发育迟缓发病现状，探究其相关危险因素，为优化儿童发育监测体系、落实早期干预、降低儿童发育迟缓发生率提供依据。方法选取2019年1月1日～2023年12月31日在北京市西城区15家初级保健服务中心体检的儿童32256人，联合采用丹佛发展筛选测验（Denver developmental screening test，DDST）、预警征、0～1岁运动发育筛查3种方法进行初筛，初筛阳性转诊至二级保健服务网西城区妇幼保健院，采用格塞尔婴幼儿发展量表（gesell）进行诊断性复筛评估。结果儿童发育初筛阳性938例，初筛阳性率2.91%，复筛人数687人，复筛阳性531人，复筛阳性率77.29%。危险因素分析显示，性别、年龄、早产史与儿童发育迟缓发生密切相关。其中男童全面发育迟缓占比45.61%，显著高于女童的34.16%；存在1～2个能区发育迟缓的儿童年龄显著高于发育无迟缓儿童，差异具有统计学意义（F=17.03，P<0.001）；早产儿童2个能区发育迟缓占63.64%，明显高于非早产儿童的40.70%（P<0.05）。结论完善的两级筛查网络可有效实现儿童发育迟缓的早发现、早转诊与早干预，对临床康复诊疗具有重要价值。儿童发育迟缓受多种因素共同影响，性别、高龄、早产是其重要相关危险因素，需针对高危人群制订针对性筛查和干预方案，进一步优化辖区儿童保健服务体系。",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "name": "初玉娟"
    },
    {
      "name": "佟小龙"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/97p6pgv5j2jq3.bib",
  "cited_by": 0,
  "doi": null,
  "fulltext_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.04.013/",
  "id": "97p6pgv5j2jq3",
  "issns": [
    "1672-4933"
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  "landing_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.04.013/",
  "language": "zh",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ]
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  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-07-01",
  "publisher": "Limited Liability Company of Chinese Scientific Journal of Hearing and Speech Rehabilitation",
  "ris": "https://research.draconitic.com/paper/97p6pgv5j2jq3.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:19Z",
      "native_id": "38efd4e1fb81490ab7cc93fcca047445",
      "source": "doaj",
      "url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.04.013/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:R",
      "subfield": "general"
    }
  ],
  "title": "北京市西城区儿童发育迟缓监测情况分析",
  "title_text": "北京市西城区儿童发育迟缓监测情况分析",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:19Z",
  "url": "https://research.draconitic.com/paper/97p6pgv5j2jq3",
  "venue": "Zhongguo tingli yuyan kangfu kexue zazhi",
  "versions": []
}