Castro Conde J R, Doménech Martínez E, Lorenzo Pérez C R, Méndez Pérez A, Fuster Jorge P
Departamento de Pediatría, Hospital Universitario de Canarias, La Laguna, Santa Cruz de Tenerife.
An Esp Pediatr. 1993 Apr;38(4):323-9.
We have performed a prospective study in 65 asphyxiated term newborns to evaluate the prognostic value of three different methods: 1) Neurological examination, 2) Electroencephalographic tracings (EEGs) and 3) Transfontanellar sonography, carried out periodically from birth until discharged from the neonatal unit. The neurological status of surviving infants was assessed at one year of age. We found a statistically significant (p < 0.0001) association between the neurological examination, electroencephalographic tracings and transfontanellar sonography during the neonatal period and the neurological development. The prognostic value, as a function of sensibility, specificity and predictive value of the three methods was very high. No differences were found among them, although the EEGs and neurological examinations showed the highest predictive values.
我们对65例足月窒息新生儿进行了一项前瞻性研究,以评估三种不同方法的预后价值:1)神经学检查;2)脑电图描记(EEG);3)经囟门超声检查,从出生到新生儿病房出院期间定期进行。对存活婴儿的神经状态在一岁时进行评估。我们发现新生儿期的神经学检查、脑电图描记和经囟门超声检查与神经发育之间存在统计学显著关联(p < 0.0001)。这三种方法的预后价值,作为敏感性、特异性和预测值的函数,非常高。尽管脑电图描记和神经学检查显示出最高的预测值,但在它们之间未发现差异。