Palmer P G, Dubowitz L M, Verghote M, Dubowitz V
Neuropediatrics. 1982 Nov;13(4):183-9. doi: 10.1055/s-2008-1059620.
A detailed neurological and neurobehavioural examination was done in 80 preterm infants of 27 to 35 weeks gestation in the first week of life and again at 40 weeks postmenstrual age, and in 40 appropriately-sized full-term infants on the first and fifth days of life. There were several consistent differences between the preterm infants reaching term and the newborn full-term infants. The preterm infants reaching 40 weeks showed less flexion in their posture, and less arm traction, arm recoil and leg recoil than the full-term infants on day 1, although this difference was less apparent by day 5. The preterm infants appeared not to develop the flexor tone of the full-term newborn. The preterm infants demonstrated better visual and auditory orientation and alertness than the full-term infants. The significance of these findings, both for initial neonatal examinations and for subsequent assessments, is evaluated.
对80名孕龄27至35周的早产儿在出生后第一周进行了详细的神经学和神经行为学检查，并在孕龄40周时再次进行检查，同时对40名大小适宜的足月儿在出生第一天和第五天进行了检查。达到足月的早产儿与足月新生儿之间存在一些一致的差异。到40周时，早产儿的姿势弯曲度较小，手臂牵拉、手臂回缩和腿部回缩比足月儿出生第一天时少，不过到第五天时这种差异不太明显。早产儿似乎没有发育出足月儿新生儿的屈肌张力。早产儿的视觉和听觉定向及警觉性比足月儿更好。对这些发现对于初始新生儿检查及后续评估的意义进行了评估。
