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极低出生体重儿三岁时神经发育结局的早期预测因素

Early predictors of neurodevelopmental outcome of very low-birthweight infants at three years.

作者信息

Ross G, Lipper E, Auld P A

出版信息

Dev Med Child Neurol. 1986 Apr;28(2):171-9. doi: 10.1111/j.1469-8749.1986.tb03851.x.

DOI:10.1111/j.1469-8749.1986.tb03851.x
PMID:2423403
Abstract

Seventy-nine premature infants weighting less than 1501 g at birth but appropriate for gestational age underwent a neurodevelopmental examination at one, three, six, nine and 12 months post-term, and a standard neurological examination and the Stanford-Binet Intelligence Scale at three to four years of age. Children were classified as normal, suspect or abnormal on the three-year neurological examination, on the IQ test, and on composite neurodevelopmental outcome at age three years. Results showed that items from both the nine- and 12-month neurodevelopmental examinations correctly classified about 80 per cent of the children as to composite outcome at three years. In addition, the 12-month examination enabled correct prediction for 89 per cent of the children as to neurological outcome and for 82 per cent as to IQ. Neurodevelopmental examination of high-risk infants in the last quarter of the first year of life (post-term) should assist pediatricians in predicting which children will be normal and which will require early intervention.

摘要

79名出生时体重不足1501克但孕周适宜的早产儿在足月后1个月、3个月、6个月、9个月和12个月时接受了神经发育检查,并在3至4岁时接受了标准神经学检查和斯坦福-比奈智力量表测试。根据3岁时的神经学检查、智商测试和综合神经发育结果,将儿童分为正常、可疑或异常。结果显示,9个月和12个月神经发育检查的项目对约80%的儿童在3岁时的综合结果分类正确。此外,12个月的检查对89%的儿童的神经学结果和82%的儿童的智商能够做出正确预测。对生命第一年最后一个季度(足月后)高危婴儿的神经发育检查应有助于儿科医生预测哪些儿童将发育正常,哪些儿童需要早期干预。

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Early predictors of neurodevelopmental outcome of very low-birthweight infants at three years.极低出生体重儿三岁时神经发育结局的早期预测因素
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Neurodevelopmental outcome of hydrocephalus following intra-/periventricular hemorrhage in preterm infants: short- and long-term results.
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Childs Nerv Syst. 1996 Jan;12(1):27-33. doi: 10.1007/BF00573851.
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Qualitative changes in general movements and their prognostic value in preterm infants.
Eur J Pediatr. 1993 Apr;152(4):362-7. doi: 10.1007/BF01956755.