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将极早产儿纳入心室指数百分位图表。

Inclusion of extremes of prematurity in ventricular index centile charts.

作者信息

Boyle M, Shim R, Gnanasekaran R, Tarrant A, Ryan S, Foran A, McCallion N

机构信息

1] Department of Paediatrics, Rotunda Hospital, Dublin, Ireland [2] Royal College of Surgeons in Ireland, Dublin, Ireland.

Royal College of Surgeons in Ireland, Dublin, Ireland.

出版信息

J Perinatol. 2015 Jun;35(6):439-43. doi: 10.1038/jp.2014.219. Epub 2014 Dec 11.

DOI:10.1038/jp.2014.219
PMID:25501837
Abstract

OBJECTIVE

To assess the relationship between ventricular index (VI) measurements and postmenstrual age in preterm infants and to generate centile charts and normal ranges for frontal horn ratio (FHR) for a large contemporary cohort of preterm infants.

STUDY DESIGN

A retrospective cohort study of 253 infants with birth gestation less than 32 weeks admitted between January 2009 and December 2011 to a tertiary NICU in Ireland.

RESULTS

A total of 816 cranial ultrasounds were reviewed. Data collected were grouped according to postmenstrual age at the time of scan from 23 weeks to 45 weeks. Median values for VI show a general trend to increase with gestation. FHR did not significantly change with postmenstrual age at scan with a median value of 0.31.

CONCLUSION

There is a slight increase in VI as gestation at the time of scans increases. These results provide the basis for updated centile charts which we propose for current practice.

摘要

目的

评估早产儿脑室指数(VI)测量值与孕龄之间的关系,并为大量当代早产儿队列生成额角比率(FHR)的百分位数图表和正常范围。

研究设计

一项回顾性队列研究,研究对象为2009年1月至2011年12月间入住爱尔兰一家三级新生儿重症监护病房(NICU)的253例出生孕周小于32周的婴儿。

结果

共回顾了816次头颅超声检查。收集的数据根据扫描时的孕龄分为23周龄至45周龄。VI的中位数显示出随孕周增加而增加的总体趋势。FHR在扫描时随孕龄无显著变化,中位数为0.31。

结论

随着扫描时孕周的增加,VI略有增加。这些结果为我们建议在当前实践中使用的更新后的百分位数图表提供了依据。

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Arch Dis Child Fetal Neonatal Ed. 2014 Mar;99(2):F158-65. doi: 10.1136/archdischild-2013-304613. Epub 2013 Nov 25.
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Antenatal steroid exposure and outcomes of very premature infants: a regional cohort study.产前类固醇暴露与极早产儿结局:一项区域性队列研究。
Arch Dis Child Fetal Neonatal Ed. 2014 Jan;99(1):F12-20. doi: 10.1136/archdischild-2013-304705. Epub 2013 Oct 18.
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Posthaemorrhagic ventricular dilatation: when should we intervene?
25-41 孕周中国新生儿脑室内径的横断面参考值。
Eur J Pediatr. 2022 Oct;181(10):3645-3654. doi: 10.1007/s00431-022-04547-z. Epub 2022 Aug 17.
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Turkish Neonatal Society Guideline on the Diagnosis and Management of Germinal Matrix Hemorrhage-Intraventricular Hemorrhage and Related Complications.土耳其新生儿学会关于生发基质出血-脑室内出血及相关并发症的诊断与管理指南。
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Neurological and developmental outcome in extremely preterm children born in England in 1995 and 2006: the EPICure studies.1995 年和 2006 年在英国出生的极早产儿的神经发育结局:EPICure 研究。
BMJ. 2012 Dec 4;345:e7961. doi: 10.1136/bmj.e7961.
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7
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