Department of Pediatrics, Women & Infants Hospital, 101 Dudley Street, Providence, RI 02905, USA.
Clin Perinatol. 2013 Dec;40(4):739-51. doi: 10.1016/j.clp.2013.07.006. Epub 2013 Sep 20.
At present, moderate preterm (MPT) infants born at 32 to 33 weeks' gestation and late preterm (LPT) infants born at 34 to 36 weeks' gestation make up the largest subgroup of preterm infants and contribute to more than 80% of premature births in the United States. There is increasing evidence that both MPT and LPT infants are at increased risk of neurologic impairments, developmental disabilities, school failure, and behavior and psychiatric problems. Population studies suggest that for each 1 week decrease in gestational age below 39 weeks, there are stepwise increases in adverse outcomes after adjusting for confounders.
目前,孕龄为 32 至 33 周的中度早产儿(MPT)和孕龄为 34 至 36 周的晚期早产儿(LPT)占早产儿最大的亚组,占美国早产儿的 80%以上。越来越多的证据表明,MPT 和 LPT 婴儿都有更高的神经损伤、发育障碍、学业失败以及行为和精神问题的风险。人群研究表明,在调整混杂因素后,与 39 周以下每减少一周的孕龄,不良结局的风险呈逐步增加。