临床儿科杂志 ›› 2017, Vol. 35 ›› Issue (6): 425-.doi: 10.3969/j.issn.1000-3606.2017.06.008

• 综合报道 • 上一篇    下一篇

不同胎龄及出生体质量早产儿早期神经发育的纵向研究

闫淑媛1, 刘震宇2, 钱红艳1, 匡晓妮1, 喻钟1, 谭琳1, 夏蝉1   

  1. 1 . 长沙市妇幼保健院儿童保健中心(湖南长沙 410007);2 . 湖南省人民医院儿童医学中心(湖南长沙 410005)
  • 收稿日期:2017-06-15 出版日期:2017-06-15 发布日期:2017-06-15
  • 通讯作者: 闫淑媛 E-mail:57357214@qq.com

Longitudinal study of early neural development in premature infants with different gestational age and birth weight

YAN Shuyuan1, LIU Zhenyu2, QIAN Hongyan1, KUANG Xiaoni1, YU Zhong1, TAN Lin1, XIA Chan1   

  1. 1. The Child Health Care Center, Changsha Hospital for Maternal & Child Health Care, Changsha 410007, Hunan, China; 2. Department of Pediatrics, Hunan Provincial People’s Hospital, Changsha 410005, Hunan, China
  • Received:2017-06-15 Online:2017-06-15 Published:2017-06-15

摘要: 目的 探讨早产儿早期神经发育趋势。方法 随访早产儿及足月儿于12、24月龄时(早产儿为校正年龄),以 Bayley婴幼儿发育量表评估的智力发育指数(MDI)及运动发育指数(PDI)的差异。结果 12月龄时,出生胎龄<32周、 32~33+6周、34~36+6周早产儿各组与足月儿组之间按校正年龄(CA)的PDI得分差异无统计学意义(P=0.820);足月儿 和出生胎龄34~36+6周组按实际年龄(UCA)的MDI和PDI得分均高于<32周和32~33+6周组,足月儿组的PDI得分高于 34~36+6周组,差异均有统计学意义(P<0.05)。 不同出生体质量早产儿与足月儿组之间按CA的PDI得分比较差异无统 计学意义(P=0.166),≥2 500 g早产儿及足月儿组按UCA的MDI和PDI得分高于出生体质量<1 500 g、1 500~1 999 g及 2 000~2 499 g早产儿组,差异均有统计学意义(P<0.05)。24月龄时,按UCA的MDI得分足月儿组高于出生胎龄<32周、 32~33+6周、34~36+6周早产儿组,也高于出生体质量<1 500 g、1 500~1 999 g及2 000~2 499 g早产儿组,差异均有统计 学意义(P<0.05)。<1 500g早产儿组按UCA的MDI曲线呈下降趋势,而按UCA的PDI曲线呈明显上升趋势。 结论 早产 儿CA12月龄、24月龄时神经发育基本达同龄足月儿水平。

Abstract: Objective To investigate the trend of early neural development in premature infants. Methods At the age of 12 months and 24 months, Bayley Scales of Infant Development were used to assess the mental development index (MDI) and the psychomotor development index (PDI) in preterm (corrected age) and full-term infants. Results At 12 months, there was no significant difference in corrected age PDI scores among different gestational age groups (<32 , 32?33+6 and 34?36+6 weeks) (P=0.820). The actual age MDI and PDI scores of full-term infants and premature infants in 34~36+6 weeks group were significantly higher than those of premature infants in <32 and 32-33+6 weeks groups, and the PDI score of full-term infants was significantly higher than that of premature infants in 34-36+6 weeks group (P<0.05). There was no significant difference in actual age PDI scores among different birth weight groups (P=0.166). The actual age MDI and PDI of full-term infants and premature infants in birth weight ≥2500 g group were significantly higher than those of premature infants in <1500 g, 1500~1999 g and 2000~2499 g groups (P<0.05). At 24 months, the actual age MDI scores of full-term infants were significantly higher than those of premature infants in different gestational age and birth weight groups (P<0.05). The actual age MDI curve of premature infants in birth weight <1 500g group showed a downward trend, while the actual age PDI curve showed a significant upward trend. Conclusion The neurodevelopment of preterm infants at the corrected age of 12 and 24 months reaches the level of full-term infants.