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早产儿童年期的感觉加工:一项系统综述

SENSORY PROCESSING DURING CHILDHOOD IN PRETERM INFANTS: A SYSTEMATIC REVIEW.

作者信息

Machado Ana Carolina Cabral de Paula, Oliveira Suelen Rosa de, Magalhães Lívia de Castro, Miranda Débora Marques de, Bouzada Maria Cândida Ferrarez

机构信息

Faculdade de Medicina da Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil.

Faculdade de Educação Física da UFMG, Belo Horizonte, MG, Brasil.

出版信息

Rev Paul Pediatr. 2017 Jan-Mar;35(1):92-101. doi: 10.1590/1984-0462/;2017;35;1;00008. Epub 2017 Feb 20.

Abstract

OBJECTIVE

To conduct a systematic search for grounded and quality evidence of sensory processing in preterm infants during childhood.

DATA SOURCE

The search of the available literature on the theme was held in the following electronic databases: Medical Literature Analysis and Retrieval System Online (Medline)/PubMed, Latin American and Caribbean Literature in Health Sciences (Lilacs)/Virtual Library in Health (BVS), Índice Bibliográfico Español de Ciencias de la Salud (IBECS)/BVS, Scopus, and Web of Science. We included only original indexed studies with a quantitative approach, which were available in full text on digital media, published in Portuguese, English, or Spanish between 2005 and 2015, involving children aged 0-9years.

DATA SYNTHESIS

581 articles were identified and eight were included. Six studies (75%) found high frequency of dysfunction in sensory processing in preterm infants. The association of sensory processing with developmental outcomes was observed in three studies (37.5%). The association of sensory processing with neonatal characteristics was observed in five studies (62.5%), and the sensory processing results are often associated with gestational age, male gender, and white matter lesions.

CONCLUSIONS

The current literature suggests that preterm birth affects the sensory processing, negatively. Gestational age, male gender, and white matter lesions appear as risk factors for sensoryprocessing disorders in preterm infants. The impairment in the ability to receivesensory inputs, to integrateand to adapt to them seems to have a negative effect on motor, cognitive, and language development of these children. We highlight the feasibility of identifying sensory processing disorders early in life, favoring early clinical interventions.

摘要

目的

系统检索关于早产儿儿童期感觉加工的可靠且高质量证据。

数据来源

在以下电子数据库中检索了关于该主题的现有文献:医学文献分析和检索系统在线版(Medline)/医学期刊数据库(PubMed)、拉丁美洲和加勒比健康科学文献数据库(Lilacs)/健康虚拟图书馆(BVS)、西班牙健康科学文献索引数据库(IBECS)/BVS、Scopus以及科学引文索引数据库(Web of Science)。我们仅纳入采用定量方法的原始索引研究,这些研究以全文形式在数字媒体上可得,于2005年至2015年间以葡萄牙语、英语或西班牙语发表,涉及0至9岁儿童。

数据综合

共识别出581篇文章,纳入了8篇。六项研究(75%)发现早产儿感觉加工功能障碍的发生率较高。三项研究(37.5%)观察到感觉加工与发育结局之间的关联。五项研究(62.5%)观察到感觉加工与新生儿特征之间的关联,且感觉加工结果常与胎龄、男性性别和白质病变相关。

结论

当前文献表明早产对感觉加工有负面影响。胎龄、男性性别和白质病变似乎是早产儿感觉加工障碍的风险因素。接收感觉输入、整合并适应这些输入的能力受损似乎对这些儿童的运动、认知和语言发育有负面影响。我们强调在生命早期识别感觉加工障碍的可行性,这有利于早期临床干预。

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