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目的评价院外转运对早产儿智能发育的影响。方法选取我院2007年院外转运的141例早产儿为转运组,同期在我院产科出生,胎龄、出生体重以及呼吸窘迫综合征(RDS)、颅内出血(ICH)和脑室周围白质软化(PVL)等疾病发病情况与转运组相匹配的早产儿100例为对照组,所有病例均没有窒息抢救史,均完成了新生儿行为神经测定(NBNA)及儿心量表检测(NET),每组分为<32周、32～34周及>34周3个胎龄段,根据两组NBNA评分及儿心量表评分情况分析各胎龄组早产儿的智能发育状况,通过比较两组智能发育状况评价院外转运对早产儿智能发育的影响。结果(1)胎龄<32周:转运组和对照组NBNA评分(34.6±1.5比35.0±1.3)及儿心量表评分(88.5±8.0比91.7±10.1)之间差异均无统计学意义(P>0.05);(2)胎龄32～34周:转运组NBNA评分(34.7±1.1)低于对照组(35.5±0.9),差异有统计学意义(P<0.05);两组儿心量表评分(92.0±8.8比97.1±11.3)差异无统计学意义(P>0.05);(3)胎龄>34周:转运组和对照组NBNA评分(35.5±1.3比35.5±0.8)及儿心量表评分(96.6±9.4比97.0±10.5)之间的差异均无统计学意义(P>0.05)。结论掌握好转运指征、做好转运前准备、及时处理转运中出现的问题以及对早产儿进行早期干预可以减轻或消除院外转运对早产儿智能发育的影响。
Objective To evaluate the impact of extrahepatic transit on the intellectual development of premature infants. Methods A total of 141 preterm infants in our hospital from 2007 to 2007 were enrolled in this study. The obstetric birth, gestational age, birth weight and respiratory distress syndrome (RDS), intracranial hemorrhage (ICH) and periventricular leukomalacia (PVL) ) And other disease incidence and transport group matched 100 cases of preterm children as control group, no case of rescue history of asphyxia, were completed neonatal behavioral nerve assay (NBNA) and children’s heart rate test (NET), each group Divided into three gestational age groups of <32 weeks, 32 to 34 weeks and> 34 weeks. Based on the NBNA scores and the children’s heart rate scale scores, the intelligence development of preterm infants of each gestational age group was analyzed. By comparing the intelligence development Condition Evaluation of Out-of-hospital Transportation on the Premature Infant’s Intelligence Development. Results (1) The gestational age <32 weeks: there was no significant difference between the NBNA score (34.6 ± 1.5 vs 35.0 ± 1.3) and the children’s heart rate scale (88.5 ± 8.0 vs 91.7 ± 10.1) in the transport and control groups P <0.05). (2) The gestational age ranged from 32 to 34 weeks: the NBNA score in the transport group (34.7 ± 1.1) was lower than that in the control group (35.5 ± 0.9), the difference was statistically significant (P> 0.05). (3) The gestational age> 34 weeks: The NBNA score of the transport and control groups (35.5 ± 1.3 vs 35.5 ± 0.8) and the heart rate There was no significant difference between the scale scores (96.6 ± 9.4 vs 97.0 ± 10.5) (P> 0.05). Conclusions Good grasp of the indications for transport, the preparation for pretransportation, the timely handling of problems in transit and the early intervention of preterm infants can reduce or eliminate the impact of extrauterine transit on the intelligent development of premature infants.