晚期早产儿早期智能发育结局的研究

目的探讨晚期早产儿（LPI）早期智能发育结局。方法选择2012年1月至2015年1月新生儿病房收治的出生胎龄34～36＋6周、治愈出院并定期规律随访的106例早产儿为晚期早产儿组;随机抽取同期120例健康足月儿（FPI）为对照组。对校正年龄40周的晚期早产儿及40周龄的足月儿进行新生儿神经行为测定（NBNA）,晚期早产儿校正龄3、6、12月龄或者足月儿3、6、12月龄时采用Gesell发育量表进行评估。结果 LPI组NBNA评分低于37分,低于FTI组（P〈0.05）。校正龄3月龄时,LPI组大运动、精细运动、个人社交落后于FTI组（P〈0.05）;校正龄6月龄时,LPI组适应性、大运动、精细...

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Published in中国当代儿科杂志 Vol. 19; no. 2; pp. 142 - 146
Main Author 张腾伟 林法涛 宋燕燕 王兰秀 蔡岳鞠
Format Journal Article
LanguageChinese
Published 2017
Subjects
晚期早产儿
智能发育
随访
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Summary:目的探讨晚期早产儿（LPI）早期智能发育结局。方法选择2012年1月至2015年1月新生儿病房收治的出生胎龄34～36＋6周、治愈出院并定期规律随访的106例早产儿为晚期早产儿组;随机抽取同期120例健康足月儿（FPI）为对照组。对校正年龄40周的晚期早产儿及40周龄的足月儿进行新生儿神经行为测定（NBNA）,晚期早产儿校正龄3、6、12月龄或者足月儿3、6、12月龄时采用Gesell发育量表进行评估。结果 LPI组NBNA评分低于37分,低于FTI组（P〈0.05）。校正龄3月龄时,LPI组大运动、精细运动、个人社交落后于FTI组（P〈0.05）;校正龄6月龄时,LPI组适应性、大运动、精细运动落后于FTI组（P〈0.05）;校正年龄12月龄时,LPI组适应性、大运动、个人社交测评明显低于FTI组（P〈0.05）。结论晚期早产儿早期智能发育迟缓,需加强神经发育监测。
Bibliography:ZHANG Teng-Wei,LIN Fa-Tao,SONG Yan-Yan,WANG Lan-Xiu,CAI Yue-Ju（ Department of Neonatology, Guangzhou Women and Children＇s Medical Center, Guangzhou Medical University, Guangzhou 510623, China ）
Objective To investigate the early intellectual developmental outcome of late preterm infants. Methods A total of 106 late preterm infants with a gestational age of 34-36^＋6 weeks who were admitted to the neonatal ward between January 2012 and January 2015, cured, discharged, and regularly followed up at the outpatient service for high-risk children were enrolled as the preterm group. A total of 120 healthy full-term infants during the same period were randomly selected as the term group. Neonatal behavioral neurological assessment（NBNA） was performed for late preterm infants at a corrected gestational age of 40 weeks and full-term infants at a gestational age of 40 weeks. The Gesell Developmental Scale was used for late preterm infants at a corrected age of 3, 6, and 12 months and full-term infants at an age of 3, 6, a
ISSN:1008-8830