Carter Frances A, Msall Michael E
Department of Psychology, The Center for Early Childhood Research, University of Chicago, 5848 S. University Avenue, Chicago, IL 60637, USA.
Department of Pediatrics, Section of Developmental and Behavioral Pediatrics, Kennedy Research Center on Intellectual and Neurodevelopmental Disabilities, University of Chicago Comer Children's Hospital, Woodlawn Social Services Center, 950 East 61st Street, Chicago, IL 60637, USA.
Clin Perinatol. 2018 Sep;45(3):501-527. doi: 10.1016/j.clp.2018.05.009.
To understand the trajectories of risk and resilience in the vulnerable preterm and neonatal brain, clinicians must go beyond survival and critically examine on a population basis the functional outcomes of children, adolescents, and adults across their life course. Evaluations must go well beyond Bayley assessments and counts of neonatal morbidities, such as bronchopulmonary dysplasia, retinopathy of prematurity, sonographic brain injury, sepsis, and necrotizing enterocolitis. Proactively providing support to families and developmental and educational supports to children can optimize academic functioning and participation in adult learning, physical and behavioral health activities, community living, relationships, and employment.
为了解脆弱的早产儿和新生儿大脑中风险与恢复力的发展轨迹，临床医生必须超越生存层面，从群体角度批判性地审视儿童、青少年和成年人在其生命历程中的功能结局。评估必须远远超出贝利婴幼儿发育量表评估以及对新生儿疾病（如支气管肺发育不良、早产儿视网膜病变、超声检查发现的脑损伤、败血症和坏死性小肠结肠炎）的统计。积极为家庭提供支持，并为儿童提供发展和教育支持，可以优化其学业表现，并促进他们参与成人学习、身心健康活动、社区生活、人际关系和就业。
