Bhatia B D, Prakash U
Department of Paediatrics, Banaras Hindu University, Varanasi, India.
Electromyogr Clin Neurophysiol. 1993 Dec;33(8):507-9.
Twenty-six fullterm intrauterine growth retarded (FT-IUGR) and 17 preterm appropriate for gestational age (PT-AGA) babies constituted study subjects. Offsprings were subjected to anthropometry (weight, crown-heel length and head circumference) and motor nerve conduction velocity (MNCV) as well as H-reflex latency (H-RL) at right median nerve. The PT-AGA babies had significantly lower MNCV and higher H-RL compared to FT-IUGR babies. When intrauterine growth retardation was severe (weight group 1500-1800 g) the means for MNCV and H-RL between FT-IUGR babies and PT-AGA babies of comparable weight were similar. FT-IUGR babies weighing between 1800-2100 g had significantly higher MNCV and lower H-RL compared to FT-IUGR babies weighing < 1800 g. The FT-IUGR babies where all the three anthropometric parameters were retarded (symmetrical intrauterine growth retardation) had significantly lower MNCV and higher H-RL compared to FT-IUGR babies where weight alone or in combination with crown-heel length was retarded.
26名足月宫内生长受限(FT-IUGR)婴儿和17名早产适于胎龄(PT-AGA)婴儿构成了研究对象。对这些后代进行了人体测量(体重、顶跟长度和头围)、运动神经传导速度(MNCV)以及右侧正中神经的H反射潜伏期(H-RL)检测。与FT-IUGR婴儿相比,PT-AGA婴儿的MNCV显著更低,H-RL更高。当宫内生长受限严重时(体重在1500 - 1800克组),FT-IUGR婴儿和体重相当的PT-AGA婴儿之间的MNCV和H-RL均值相似。与体重<1800克的FT-IUGR婴儿相比,体重在1800 - 2100克之间的FT-IUGR婴儿MNCV显著更高,H-RL更低。与仅体重或体重与顶跟长度两者受限的FT-IUGR婴儿相比,所有三项人体测量参数均受限的FT-IUGR婴儿(对称性宫内生长受限)MNCV显著更低,H-RL更高。