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晚期早产儿的神经发育结局:文献综述

Neurodevelopmental outcome of late-preterm infants: Literature review.

作者信息

Favrais G, Saliba E

机构信息

Service de néonatologie, CHRU de Tours, 37044 Tours, France; UMR 1253, iBrain, Université de Tours, Inserm, 37044 Tours, France.

UMR 1253, iBrain, Université de Tours, Inserm, 37044 Tours, France.

出版信息

Arch Pediatr. 2019 Nov;26(8):492-496. doi: 10.1016/j.arcped.2019.10.005. Epub 2019 Nov 5.

Abstract

Late-preterm infants are characterized by a birth term from 34 to 36 weeks of gestation. A foetal brain at 34 weeks of gestation weighs only 65% of the full-term newborn brain, which suggests a particular cerebral vulnerability to injury during this 6-week period. Epidemiological studies reporting the neurological outcomes of late-preterm infants exhibit large methodological heterogeneity that inhibits clarity on this issue. However, contradictory results and odds ratio values near neutral reveal probable moderate neurodevelopmental delay in late-preterm infants. This observation reflects the variable neurological outcomes of this population according to multiple perinatal factors. Therefore, the current challenge is to define efficient screening strategies to determine infants requiring specific follow-up.

摘要

晚期早产儿的特征是妊娠34至36周出生。妊娠34周时胎儿大脑的重量仅为足月儿大脑的65%,这表明在此6周期间,大脑特别容易受到损伤。报告晚期早产儿神经学结局的流行病学研究在方法上存在很大异质性,这使得该问题难以明确。然而,相互矛盾的结果以及接近中性的比值比表明,晚期早产儿可能存在中度神经发育延迟。这一观察结果反映了该人群因多种围产期因素而产生的不同神经学结局。因此,当前的挑战是确定有效的筛查策略,以识别需要特殊随访的婴儿。

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