Cloonan H A, Maxwell S R, Miller S D
Dept. of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Charleston Division, USA.
W V Med J. 2001 Sep-Oct;97(5):250-2.
Advances in neonatal care have led to survival of more Very Low Birth Weight (VLBW) infants weighing < 1,500 grams with growing concerns about neuro-developmental outcomes. To identify relationships between outcomes and birth weight, we evaluated 213 VLBW infants over a six-year period using a standardized test to identify relationships between outcomes and birth weight, and participation in early intervention programs at a one-year follow-up. Average Mental Development Indices were obtained for the majority of infants across all birth weight categories with the smallest group (500-750 grams) scoring significantly lower than infants in all other categories. Infants who did not participate in early intervention scored better which suggests this group was healthier and less likely to need intervention services. Further clarification of the salient components of early intervention is recommended in future studies.
新生儿护理的进步使得更多体重小于1500克的极低出生体重(VLBW)婴儿存活下来,人们对其神经发育结局的担忧也与日俱增。为了确定结局与出生体重之间的关系,我们在六年时间里对213名极低出生体重婴儿进行了评估,使用标准化测试来确定结局与出生体重之间的关系,以及在一岁随访时参与早期干预项目的情况。在所有出生体重类别中,大多数婴儿都获得了平均心理发展指数,其中最小的一组(500 - 750克)得分明显低于所有其他类别的婴儿。未参与早期干预的婴儿得分更高,这表明该组婴儿更健康,不太可能需要干预服务。建议在未来的研究中进一步阐明早期干预的显著组成部分。