Behnke M, Eyler F D, Carter R L, Hardt N S, Cruz A C, Resnick M B
Department of Pediatrics, University of Florida, College of Medicine, Gainesville 32610.
Am J Perinatol. 1989 Jan;6(1):18-21. doi: 10.1055/s-2007-999536.
For more than two decades, Apgar scores have been used to predict developmental outcome in newborns. However, most studies have used full-term babies for their data base, and the predictive value of Apgar scores for low birthweight infants has remained unclear. This study was designed to provide a data base for premature infants, demonstrating to what degree Apgar scores predict developmental outcome. We tested Apgar scores alone and in combination with two other easily quantified variables, birthweight and gestational age, as predictors of risk for 256 infants weighing less than 1800 gm at birth. Although significant correlations existed between Apgar scores and Bayley Mental and Psychomotor Developmental Indices, multiple regression analyses demonstrated that these relationships were not significant independent of birthweight and gestational age. That is, after controlling for birthweight and gestational age, Apgar scores did not predict morbidity in low birthweight infants and should not be used to provide a developmental prognosis.
二十多年来，阿氏评分一直用于预测新生儿的发育结果。然而，大多数研究以足月儿作为数据库，阿氏评分对低体重儿的预测价值仍不明确。本研究旨在为早产儿提供一个数据库，以证明阿氏评分在多大程度上能够预测发育结果。我们单独测试了阿氏评分，并将其与另外两个易于量化的变量（出生体重和孕周）相结合，作为256名出生时体重低于1800克婴儿的风险预测指标。尽管阿氏评分与贝利智力和心理运动发育指数之间存在显著相关性，但多元回归分析表明，这些关系独立于出生体重和孕周并不显著。也就是说，在控制了出生体重和孕周之后，阿氏评分并不能预测低体重儿的发病率，也不应被用于提供发育预后。
