Brothwood M, Wolke D, Gamsu H, Cooper D
Department of Child Health, King's College School of Medicine and Dentistry, London, England.
Acta Paediatr Scand. 1988 Jan;77(1):10-8. doi: 10.1111/j.1651-2227.1988.tb10590.x.
During the five-year period, January 1980 to December 1984, 149 babies of extremely low birthweight (ELBW; 501-1,000 g) and 296 of very low birthweight (VLBW; 1,001-1,500 g) were admitted to King's College Hospital, Neonatal Intensive Care Unit. The survival rates were 51.7% and 82.8% respectively. There were more peri- and postnatal problems in the ELBW babies than the VLBW babies and these differences were highly significant. All surviving babies born between January 1980 and December 1982 were followed up until aged two. The ELBW children had a higher incidence of neuro-developmental sequelae than those of VLBW especially when both major and minor problems were considered. Their developmental quotients were lower at one and two years. Significantly more ELBW children were of short stature and low weight (less than 3rd centile). By two years of age the differences between ELBW and VLBW children in stature and mean DQ had lessened.
在1980年1月至1984年12月这五年期间,149名极低出生体重儿(ELBW;501 - 1000克)和296名超低出生体重儿(VLBW;1001 - 1500克)被收治于国王学院医院新生儿重症监护病房。存活率分别为51.7%和82.8%。ELBW婴儿的围产期和产后问题比VLBW婴儿更多,且这些差异具有高度显著性。对1980年1月至1982年12月间出生的所有存活婴儿进行了随访,直至其两岁。ELBW儿童的神经发育后遗症发生率高于VLBW儿童,尤其是在考虑主要和次要问题时。他们在一岁和两岁时的发育商较低。显著更多的ELBW儿童身材矮小且体重低(低于第3百分位)。到两岁时,ELBW和VLBW儿童在身高和平均发育商方面的差异有所减小。