Bickle Graz M, Cevey-Macherel M, Forcada-Guex M, Truttmann A, Ha-Vinh Leuchter R, Sizonenko S, Huppi P S, Borradori Tolsa C
Unité de développement, Service de néonatologie, DMCP, CHUV, Lausanne.
Rev Med Suisse. 2011 Feb 23;7(283):437-8, 440-1.
Preterm children born before 32 weeks of gestation represent 1% of the annual births in Switzerland, and are the most at risk of neurodevelopmental disabilities. A neurological surveillance is thus implemented in the neonatal units, and multidisciplinary neurodevelopmental follow-up is offered to all our preterm patients. The follow-up clinics of the University hospitals in Lausanne and Geneva follow the Swiss guidelines for follow-up. An extended history and neurological examination is taken at each appointment, and a standardized test of development is performed. These examinations, which take place between the ages of 3 months and 9 years old, allow the early identification and treatment of developmental disorders frequent in this population, such as motor, cognitive or behavioral disorders, as well as the monitoring of the quality of neonatal care.
妊娠32周前出生的早产儿占瑞士年出生人口的1%,且是神经发育障碍风险最高的群体。因此,新生儿病房实施了神经学监测,并为所有早产患者提供多学科神经发育随访。洛桑和日内瓦大学医院的随访门诊遵循瑞士的随访指南。每次预约时都会进行详尽的病史询问和神经学检查,并开展标准化发育测试。这些检查在3个月至9岁之间进行,有助于早期识别和治疗该群体中常见的发育障碍,如运动、认知或行为障碍,同时监测新生儿护理质量。