论文部分内容阅读
１９８９年１月～１９９１年１２月全国１３个单位协作研究新生儿２０项行为神经测定（ＮＢＮＡ）于足月窒息儿的应用。１４５例中随访至１～２岁１２５例。结果显示：７天ＮＢＮＡ＜３５分３６例中４４．４％预后不良；１２～１４天ＮＢＮＡ＜３５分１４例中７８．６％预后不良，而＞３５分者９８．３％正常。７天ＮＢＮＡ评分预测预后的敏感性和特异性分别为８８，９％和８２．６％，１２～１４天为８４．６％和９７．４％。其预测预后的价值优于Ｓａｒｎａｔ分度、头颅ＣＴ和Ｂ超。本方法实用、经济、可靠，值得推广。
From January 1989 to December 1991, 13 units nationwide collaborated to study the application of 20 behavioral neurological tests (NBNA) in neonates to full-term asphyxia. One hundred and fifty-five patients were followed up to 125 patients aged 1-2 years. The results showed that: 7 days NBNA <35 points in 44 cases, 44.4% poor prognosis; 12 to 14 days NBNA <35 points in 14 cases, 78.6% of the poor prognosis, and> 35 points were normal to 98.3%. The sensitivity and specificity of 7-day NBNA score predictive prognosis were 88, 9% and 82.6% respectively, 84.6% and 97.4% on days 12-14. Its prognostic value is superior to Sarnat’s indexing, cranial CT and B-ultrasound. The method is practical, economical, reliable and worth promoting.