Sugita K, Iai M, Inoue T, Ohta R
Department of Pediatrics, Chiba University School of Medicine, Japan.
Brain Dev. 1990;12(3):334-8. doi: 10.1016/s0387-7604(12)80316-0.
This study was concerned with the problem how we should allow for gestational age at birth when evaluating psychomotor development in extremely low birthweight (ELBW) infants. The consequences of the use of corrected and uncorrected developmental test scores as to the degree of prematurity were studied in 27 consecutive ELBW children who had been categorized as being normal on neurological and psychological testing at 5 1/2 years. The present study provides evidence that the overall trend of psychomotor development in normal ELBW children is not accelerated, but is guided by maturation of the central nervous system. This study also suggests that there are no significant differences in the predictive value of corrected and uncorrected DQ scores after 2 years of age with respect to IQ scores at 5 1/2 years.
本研究关注的问题是,在评估极低出生体重(ELBW)婴儿的心理运动发育时,我们应如何考虑出生时的孕周。在27名连续的ELBW儿童中,研究了使用校正和未校正发育测试分数对早产程度的影响,这些儿童在5.5岁时经神经学和心理学测试被归类为正常。本研究提供的证据表明,正常ELBW儿童心理运动发育的总体趋势并未加速,而是由中枢神经系统的成熟所引导。本研究还表明,2岁后校正和未校正发育商(DQ)分数对5.5岁时智商分数的预测价值没有显著差异。