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目的 通过对围产期高危新生儿进行行为神经测定及长期随访,探讨新生儿行为在高危儿预后预测中的意义。方法 对高危儿及正常新生儿于新生儿期进行行为神经测定(NBNA),动态随访至1.5~2 岁,进行婴幼儿智能发育测定(CDCC),研究NBNA 与CDCC得分的关系。结果 高危新生儿1.5 岁时CDCC总得分明显低于正常,其中新生儿期NBNA低于36 分者60% 1.5 岁后可发生智力落后,而36 分以上者无一例发生智力低下。结论 新生儿期行为神经测定可较好地预测高危新生儿的预后,为早期干预提供依据
Objective To explore the significance of neonatal behavior in the prediction of prognosis of high-risk infants through behavioral nerve measurement and long-term follow-up of neonates with high risk of perinatal period. Methods Behavioral nerve measurement (NBNA) was performed in neonates with high risk infants and normal neonates. The patients were followed up for 1.5-2 years. The intelligence development of infants and young children (CDCC) was measured. The relationship between NBNA and CDCC score was studied. Results High-risk neonates at 1.5 years old had significantly lower total score of CDCC than normal, including neonates with NBNA less than 36% 60% after 1.5 years of age may have mental retardation, while no more than 36 points mental retardation. Conclusion Behavioral nerve measurement in neonatal period can predict the prognosis of high-risk neonates well and provide basis for early intervention