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早产儿发育的纵向随访。

A longitudinal follow up of development of preterm infants.

作者信息

Chaudhari S, Kulkarni S, Pajnigar F, Pandit A N, Deshmukh S

机构信息

Department of Pediatrics, K.E.M. Hospital, Pune.

出版信息

Indian Pediatr. 1991 Aug;28(8):873-80.

PMID:1808074
Abstract

A prospective study was undertaken to determine the development of preterm (PT) babies (gestation less than 37 weeks). One hundred and seventy two preterm babies and 36 control babies were followed up for a period of 18-24 months. Psychomotor development was assessed using the Bayley Scales of Infant Development at 3, 6, 9, 12, 18, 24 months, using the corrected or post conceptional age. Preterm babies, as a group, caught up with normal babies between 18-24 months, both on the motor and mental scale. Higher the birth weight, better was the mean motor development quotient at 18 months. Uncomplicated preterm babies showed higher mean development quotients at 18 months than preterm babies with additional complications and they also caught up earlier (12-18 months) than the latter group who caught up between 18-24 months. Similarly, PT appropriate for gestational age (AGA) babies showed, earlier 'catch up' than PT small for gestational age (SGA) babies. The incidence of cerebral palsy was low (4%).

摘要

开展了一项前瞻性研究,以确定早产(PT)婴儿(孕周小于37周)的发育情况。对172名早产婴儿和36名对照婴儿进行了为期18至24个月的随访。在3、6、9、12、18、24个月时,使用贝利婴儿发育量表,根据矫正胎龄或孕龄评估精神运动发育情况。作为一个群体,早产婴儿在18至24个月时,在运动和智力量表方面赶上了正常婴儿。出生体重越高,18个月时的平均运动发育商越好。无并发症的早产婴儿在18个月时的平均发育商高于有其他并发症的早产婴儿,并且他们比后者(在18至24个月时赶上)更早(12至18个月)赶上。同样,适于胎龄(AGA)的早产婴儿比小于胎龄(SGA)的早产婴儿更早“赶上”。脑瘫的发生率较低(4%)。

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