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[孕龄对新生儿肌电图特征的影响]

[Influence of post-conceptual age on the electromyographic characteristics in the newborns].

作者信息

Meĭgal A Iu, Zarpinova Iu R

出版信息

Fiziol Cheloveka. 2013 May-Jun;39(3):61-7. doi: 10.7868/s0131164613030156.

Abstract

The purpose of the study was to investigate neuromuscular status in the preterm infants using surface electromyography (EMG). 10 preterm (gestational age 31/32 weeks) and 10 term infants (gestational age 38/39 weeks) participated in the study on the 2nd, 4th and 6th postnatal week. Linear and novel non-linear parameters of were used to quantitize interference EMG (iEMG) in 4 muscles (mm. bic. br. dext., tric. br. dext, tib. ant. sin., gastr. sin. In the preterm infants aged 33-37 weeks both linear and non-linear sEMG parameters were significantly lower in comparison with the term infants. Thus, sEMG of the preterm infants was characterized by a more "primitive" time-domain structure, lower amplitude and spectrum frequency. Also, unlike to term newborns, in the preterm infants the lifetime dynamics ofsEMG parameters was retarded. Thus, the motor system of the preterm infant is likely less prepared to the postnatal life due to shorter existence in utero. Nonetheless, sEMG of the preterm infants may be characterized as a more "complex" in comparison with the term newborns of the same post-conceptual age. It may be attributed to new postnatal sensory stimuli.

摘要

本研究的目的是使用表面肌电图(EMG)来调查早产儿的神经肌肉状况。10名早产儿(胎龄31/32周)和10名足月儿(胎龄38/39周)在出生后第2周、第4周和第6周参与了该研究。使用线性和新型非线性参数来量化4块肌肉(右侧肱二头肌、右侧肱三头肌、左侧胫前肌、左侧腓肠肌)的干扰肌电图(iEMG)。在33 - 37周龄的早产儿中,与足月儿相比,线性和非线性表面肌电图参数均显著更低。因此,早产儿的表面肌电图特征为更“原始”的时域结构、更低的幅度和频谱频率。此外,与足月儿不同,早产儿表面肌电图参数的终生动态变化延迟。因此,由于在子宫内的生存时间较短,早产儿的运动系统可能对出生后的生活准备不足。尽管如此,与相同孕龄的足月儿相比,早产儿的表面肌电图可能具有更“复杂”的特征。这可能归因于出生后的新感觉刺激。

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