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新生儿重症监护病房中早产儿视觉评估的技术创新:探索性研究。

Technical Innovation for Visual Assessment of Preterm Newborns in a Neonatal Intensive Care Unit: Exploratory Study.

作者信息

Moran C A, Alves V L, Pereira S A, Costa M F

机构信息

Department of Health Sciences, Universidade Federal de Santa Catarina, Araranguá, Santa Catarina, Brazil.

Department of Physiotherapy, Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brazil.

出版信息

Rehabil Res Pract. 2021 Jan 4;2021:9837505. doi: 10.1155/2021/9837505. eCollection 2021.

Abstract

OBJECTIVE

The present study is aimed at assessing heart rate variability (HRV) and its correlation with visual acuity (VA) assessment of preterm newborns (PTNB) in neonatal intensive care units.

METHOD

Cross-sectional study analyzing HRV during assessment of VA with the aid of a Polar RS800CX heart rate monitor (Polar Electro Oy, Finland). HRV was analyzed according to time and frequency domains and the chaos domain used the autocorrelation coefficient and entropy. The sample consisted of hospitalized PTNB, and static analysis included simple regression diagnosis.

RESULTS

A total of 14 PTNB were included in the sample. VA varied between 0.23 and 1.60 cpd, and only five PTNB obtained below-expected values for age. Statistical analysis demonstrated a negative correlation between VA and time domain (SDDN and SD2) and a positive correlation between frequency domain (heart rate and hertz), but in simple linear regression analysis, these variables did not influence VA.

CONCLUSION

The results of the study demonstrate that visual acuity was inversely correlated with SDNN and SD2 and during stimulation, showing that the higher the visual performance, the lower the autonomic modulation response.

摘要

目的

本研究旨在评估新生儿重症监护病房中早产儿(PTNB)的心率变异性(HRV)及其与视力(VA)评估的相关性。

方法

横断面研究,借助 Polar RS800CX 心率监测仪(芬兰 Polar Electro Oy 公司)在评估 VA 期间分析 HRV。根据时域和频域分析 HRV,混沌域使用自相关系数和熵。样本包括住院的 PTNB,静态分析包括简单回归诊断。

结果

样本共纳入 14 例 PTNB。VA 在 0.23 至 1.60 cpd 之间变化,只有 5 例 PTNB 的 VA 值低于预期年龄值。统计分析表明,VA 与时域(SDDN 和 SD2)呈负相关,与频域(心率和赫兹)呈正相关,但在简单线性回归分析中,这些变量并未影响 VA。

结论

研究结果表明,视力与 SDNN 和 SD2 呈负相关,在刺激过程中,表明视觉表现越高,自主调节反应越低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a0a/7801074/bb615ed54ba3/RERP2021-9837505.001.jpg

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