- 期刊
胎兒酒精症候群之發展及氣質特徵：三例學齡前兒童預後追蹤
Development and Temperament Traits of Fetal Alcohol Syndrome: Outcome Follow-up of Three Pre-school Children
摘要
胎兒酒精症候群為目前歐美社會中，造成智能障礙主要的已知原因之一。根據過去小部份的調查顯示，台灣地區確有此類病例存在的，尤其是在台灣東部的區域，這可能導源於此區域酒癮盛行率較高的原因所致。胎兒酒精症候群診斷是在兒童母親在懷孕期間有飲酒歷史的前提下，並符合下面三個診斷標準：中樞神經系統異常；生長遲緩（身高與體重小於正常10%）；臉部外觀異常包括頭圍不足、鼻子人中部位扁平、上嘴唇較薄等，若上述三項標準皆有，則為胎兒酒精症候群。本院復健科與東部某教養院機構合作，對於三位診斷為胎兒酒精症候群兒童的測驗資料進行分析，測驗工具分別為學齡前兒童行為發展量表(Chinese child Development Inventory, CCDI)以及中華兒童氣質量表(Chinese Child Temperament Inventory, CCTI)，測量年齡分別在兒童四歲至四歲11個月之間。其結果顯示所有個案在CCDI各領域皆有發展遲緩之現象，且每個個案在精細動作、概念理解以及人際社會的發展更落後於其他領域。而在CCTI的結果中，堅持度小以及反應閾高則是可以觀察到的共通現象。上述結果可提供復健團隊在介入胎兒酒精症候群孩童療育工作時有參考的依據並期待未來有更多資料可以累積。
並列摘要
Fetal Alcohol Syndrome is one of the commonly seen mental retardation known causes in the western world. According to past studies, there are such cases in Taiwan, especially in the eastern region. It may contribute to higher alcoholism prevalence in the area. Given that there is alcohol consumption history during pregnancy, to diagnose Fetal Alcohol Syndrome with criteria of abnormal central nervous system function, growth retardation (height and weight 10% below normal range), or facial disfiguration such as small head circumference, flat philtrum and thin upper lip. Cases fulfill the above three conditions can be diagnosed Fetal Alcohol Syndrome (FAS). Our department collaborates with a pediatric nursing institute in eastern Taiwan to analyze 3 FAS children. Testing methods include Chinese child Development Inventory (CCDI) and Chinese Child Temperament Inventory (CCTI). We tested children between the age of 4 years old and 4 year and 11 months old, results show developmental delay in all categories of CCDI especially in fine motor, logical comprehension, and social interaction development. In CCTI results, low persistence and high threshold are commonly observed. The above-mentioned results can provide our team more confidence in intervention of FAS education and therapy; therefore to collect more information in the near future.