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早产儿的生存及神经发育结局

Survival and neurodevelopmental outcomes of preterm infants.

作者信息

Hack Maureen

机构信息

Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH, USA.

出版信息

J Pediatr Gastroenterol Nutr. 2007 Dec;45 Suppl 3:S141-2. doi: 10.1097/01.mpg.0000302959.55428.05.

Abstract

Survival of preterm infants, which increased dramatically during the years after the introduction of neonatal intensive care, reached a plateau in the mid- to late 1990s. Neonatal morbidity, which increased initially, has decreased since 2000 and resulted in a decrease in the rates of cerebral palsy. Follow-up of preterm infants to early childhood and school age reveals higher rates of asthma, cerebral palsy, subnormal cognitive function, poorer academic achievement, and behavioral problems. Although many of the problems persist into adulthood, preterm survivors regard their overall health and quality of life similar to that of normal birth weight controls.

摘要

在新生儿重症监护引入后的几年里,早产儿存活率显著提高,并在20世纪90年代中后期达到平稳状态。新生儿发病率最初有所上升,但自2000年以来有所下降,导致脑瘫发病率降低。对早产儿进行幼儿期和学龄期的随访发现,哮喘、脑瘫、认知功能低下、学业成绩较差和行为问题的发生率较高。尽管许多问题会持续到成年期,但早产幸存者认为他们的整体健康和生活质量与正常出生体重的对照组相似。

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