Petersen S, Pryds O, Trojaborg W
Department of Neonatology, State University Hospital (Rigshospitalet), Copenhagen, Denmark.
Early Hum Dev. 1990 Aug;23(2):85-91. doi: 10.1016/0378-3782(90)90131-2.
The latency and amplitude of the first negative peak of visual evoked potentials (VEP) were evaluated in 52 term infants, investigated within 48 h after birth. Sixteen were light-for-gestational-age (LGA), 16 were appropriate-for-gestational-age (AGA) and 20 were infants of diabetic mothers (IDM). The VEP latency was shorter in LGA infants compared to AGA infants, and it was closely related to the birth weight deviation. The VEP latency was inversely related to gestational age and positively related to head circumference. When corrected for gestational age and head circumference, the VEP latency was not significantly different between the subgroups, nor related to the birth weight deviation, ponderal index or skinfold thickness. Thus, it could be argued that the high conduction velocity in LGA infants is due to stress maturation or alternatively due to the smaller head circumference. The VEP amplitude was higher in LGA infants when compared with AGA infants, and inversely related to the birth weight deviation. No differences were found in VEP latency or VEP amplitude between IDM and AGA infants.
对52名足月儿在出生后48小时内进行了视觉诱发电位(VEP)第一个负峰的潜伏期和波幅评估。其中16名是小于胎龄儿(LGA),16名是适于胎龄儿(AGA),20名是糖尿病母亲的婴儿(IDM)。与AGA婴儿相比,LGA婴儿的VEP潜伏期较短,且与出生体重偏差密切相关。VEP潜伏期与胎龄呈负相关,与头围呈正相关。校正胎龄和头围后,各亚组之间的VEP潜伏期无显著差异,也与出生体重偏差、 ponderal指数或皮褶厚度无关。因此,可以认为LGA婴儿的高传导速度是由于应激成熟或由于较小的头围。与AGA婴儿相比,LGA婴儿的VEP波幅更高,且与出生体重偏差呈负相关。IDM婴儿和AGA婴儿在VEP潜伏期或VEP波幅方面未发现差异。