Den Ouden L, Rijken M, Brand R, Verloove-Vanhorick S P, Ruys J H
Department of Pediatrics, University Hospital, Leiden, The Netherlands.
J Pediatr. 1991 Mar;118(3):399-404. doi: 10.1016/s0022-3476(05)82154-7.
To determine whether correction for preterm birth should be applied during developmental assessment, we conducted a prospective national survey of very premature infants (born at less than 32 weeks of gestation); neurodevelopment in the first 2 years was studied with the Dutch child health care developmental assessment. In 555 preterm children who had no evidence of handicap at 2 years of age, the age at which developmental milestones were reached was established. The results were compared with the results of the same assessment in Dutch children born at term. During the first year, the development of the very premature children equaled the development of normal children when full correction was applied. At 2 years of age, development was equal to or better than normal children's development without correction. We conclude that full correction for prematurity should be applied in the first year to avoid overreferral for developmental stimulation, whereas at 2 years of age correction is not necessary.
为了确定在发育评估期间是否应进行早产校正，我们对极早产儿（孕周小于32周出生）进行了一项全国性前瞻性调查；使用荷兰儿童保健发育评估研究了前两年的神经发育情况。在555名2岁时无残疾迹象的早产儿童中，确定了达到发育里程碑的年龄。将结果与荷兰足月儿相同评估的结果进行比较。在第一年，当进行完全校正时，极早产儿的发育与正常儿童的发育相当。在2岁时，未经校正的发育等于或优于正常儿童的发育。我们得出结论，在第一年应进行早产的完全校正，以避免过度转诊进行发育刺激，而在2岁时则无需校正。
