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极低出生体重儿的结局:1980 - 1990年

Outcome of extremely low-birth-weight infants: 1980-1990.

作者信息

Blaymore-Bier J, Pezzullo J, Kim E, Oh W, Garcia-Coll C, Vohr B R

机构信息

Department of Pediatrics, Rhode Island Hospital, Providence, USA.

出版信息

Acta Paediatr. 1994 Dec;83(12):1244-8. doi: 10.1111/j.1651-2227.1994.tb13005.x.

DOI:10.1111/j.1651-2227.1994.tb13005.x
PMID:7734862
Abstract

Neonatal and follow-up data of infants from the special care nursery whose birth weights were < 750 g, born between 1980 and 1990, were reviewed. There was a 20% relative improvement in the odds of surviving the neonatal period, a 16% improvement in the odds of being discharged and a 19% improvement in the odds of surviving until 2 years of age with each consecutive year. Home oxygen use increased significantly over the study period. The neurodevelopmental outcomes of infants were similar over the 11-year period, with 53% being classified as neurologically normal, with a mean developmental index of 83 at 1 to 2 years of age. We conclude that there has been an improved survival of infants with birth weights < 750 g in our institution, and that the overall incidence of serious neurodevelopmental deficits among survivors has remained stable.

摘要

对1980年至1990年间出生体重小于750克的特殊护理病房婴儿的新生儿期及随访数据进行了回顾。每连续一年,新生儿期存活几率相对提高20%,出院几率提高16%,存活至2岁的几率提高19%。在研究期间,家庭用氧显著增加。在这11年期间,婴儿的神经发育结果相似,53%被归类为神经学正常,1至2岁时平均发育指数为83。我们得出结论,在我们机构中,出生体重小于750克的婴儿存活率有所提高,幸存者中严重神经发育缺陷的总体发生率保持稳定。

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