Darlow B A, Horwood L J, Mogridge N, Clemett R S
Department of Paediatrics, Christchurch School of Medicine.
N Z Med J. 1998 Jul 24;111(1070):264-7.
To determine the survival and disability rates at 7-8 years in infants of less than 28 weeks gestation born in New Zealand in 1986 and admitted to a neonatal unit.
In 1986, all infants with birthweight less than 1500 g and admitted to neonatal units were enrolled in a prospective audit of retinopathy of prematurity. Surviving infants, including the subset born at less than 28 weeks gestation, have been assessed at a home visit. Parents completed a comprehensive questionnaire and children underwent a visual assessment and were tested on the Wechsler Intelligence Scale for Children.
Of 126 liveborn infants less than 28 weeks gestation, 80 (64%) survived to 7-8 years. Sixty eight children (97% survivors resident in New Zealand) were assessed: 72% had no, and 86% no or only mild disability, 77% had some visual problem, with close to one-third having myopia, strabismus or requiring spectacles and 32% received Ministry of Education funded special needs assistance.
There have been few long-term follow-up studies of infants of less than 28 weeks gestation born in a defined geographical area. The outcome for New Zealand infants is comparable with that in other published data.
确定1986年在新西兰出生且孕周小于28周并入住新生儿病房的婴儿在7至8岁时的存活率和残疾率。
1986年，所有出生体重小于1500克并入住新生儿病房的婴儿均纳入早产儿视网膜病变的前瞻性审计。存活的婴儿，包括孕周小于28周的子集，在一次家访中接受了评估。父母完成了一份综合问卷，儿童接受了视力评估，并进行了韦氏儿童智力量表测试。
在126名孕周小于28周的活产婴儿中，80名（64%）存活至7至8岁。对68名儿童（97%居住在新西兰的幸存者）进行了评估：72%没有残疾，86%没有或仅有轻度残疾，77%有一些视力问题，近三分之一患有近视、斜视或需要戴眼镜，32%接受了教育部资助的特殊需求援助。
在特定地理区域出生的孕周小于28周的婴儿的长期随访研究很少。新西兰婴儿的结局与其他已发表数据相当。
