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[通过测量运动神经传导来精确确定低体重新生儿的成熟度]

[Measurement of motor nerve conduction for precise maturity determination in low birth weight newborn infants].

作者信息

Pluta M, Goeschen K, Rothe J, Gesche J, Saling E

出版信息

Geburtshilfe Frauenheilkd. 1981 Dec;41(12):864-7. doi: 10.1055/s-2008-1037305.

Abstract

Between 1.10.1979 and 31.1.1981, maturity estimation tests were conducted on 379 eutrophic and 78 hypotrophic neonates at the Department of Obstetrics in Berlin Neukölln by means of motor nerve conduction velocity (NCV) combined with the FARR system. In both eutrophic and hypotrophic infants the median of the nerve conduction velocity rises almost in a straight line from 16.5 m/sec in the 34th week of gestation to 25.7 m/sec in the 41st week. The significance calculation of the nerve conduction velocity of both groups showed no variation (p less than 0,01). On the other hand the maturity estimation made with the FARR system deviated strongly in a false positive direction up to the 38th week of gestation. The measurement of the motor nerve conduction velocity of the ulnar nerve has proved to be a simple and very precise estimation of the postpartum gestational age which makes it possible to distinguish with certainty between premature eutrophic infants and hypotrophic infants of low birthweight.

摘要

1979年10月1日至1981年1月31日期间,柏林新克尔恩妇产科对379名营养良好的新生儿和78名营养不足的新生儿进行了成熟度评估测试,采用运动神经传导速度(NCV)结合FARR系统。在营养良好和营养不足的婴儿中,神经传导速度的中位数几乎呈直线上升,从妊娠34周时的16.5米/秒上升到41周时的25.7米/秒。两组神经传导速度的显著性计算显示无差异(p小于0.01)。另一方面,在妊娠38周之前,使用FARR系统进行的成熟度评估在假阳性方向上有很大偏差。事实证明,测量尺神经的运动神经传导速度是一种简单且非常精确的产后胎龄评估方法,能够明确区分早产的营养良好婴儿和低出生体重的营养不足婴儿。

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