临床儿科杂志 ›› 2017, Vol. 35 ›› Issue (7): 525-.doi: 10.3969/j.issn.1000-3606.2017.07.013

• 综合报道 • 上一篇    下一篇

宫内生长受限对早产儿脑功能发育的影响

付薇1,2, 刘颖2, 刘敬1,2   

  1. 1 . 南方医科大学陆军总医院临床医学院附属八一儿童医院( 广东广州 510515 ) ;2 . 北京市朝阳区妇幼保健院新生儿科(北京 100101)
  • 收稿日期:2017-07-15 出版日期:2017-07-15 发布日期:2017-07-15
  • 通讯作者: 刘敬 E-mail:liujingbj@sina.com
  • 基金资助:
    国家自然科学基金资助项目(No. 81471087)

The effect of intrauterine growth restriction on the development of brain function in premature infants

FU Wei 1,2, LIU Ying 2, LIU Jing 1,2   

  1. 1. Bayi Children's Hospital Affiliated to The Clinical Medical College of Southern Medical University, Guangzhou 510515, Guangdong, China; 2. Department of Pediatrics, Beijing Chaoyang Maternal and Child-Care Centre, Beijing 100101, China
  • Received:2017-07-15 Online:2017-07-15 Published:2017-07-15

摘要: 目的 探讨宫内生长受限(IUGR)对早产儿脑功能发育的影响。方法 采用NicoletOne脑功能监护仪对2015 年1月至2016年2月住院、胎龄32~36周的110例早产儿,其中小于胎龄儿(SGA)50例、适于胎龄儿(AGA)60例,于生 后72 小时内进行监测,每次连续监测4~6 小时,比较两组早产儿脑电波形的连续性、睡眠-觉醒周期、爆发间期、最低和 最高电压等指标的差异。结果 SGA组振幅整合脑电图(aEEG)连续性脑电图及睡眠-觉醒周期的出现率及最高、最低电 压值均低于AGA组,爆发间期则长于AGA组,差异均有统计学意义(P<0.05)。 在SGA组中,出生体质量0.05)。 结论 SGA早产儿连续性脑电图及睡眠-觉醒周期性出现率减少,爆发间期相对延长,最高及最低电压降低, 提示IUGR一定程度上延迟或抑制了早产儿脑功能的发育。

Abstract: Objective To explore the effect of intrauterine growth restriction (IUGR) on the development of brain function in premature infants. Methods A total of 110 premature infants of gestation age of 32-36 weeks were monitored by NicoletOne neonatal cerebral function monitor within 72 hours after birth during January 2015 to February 2016. There were 50 small for gestational age infants (SGA) and 60 appropriate for gestational age infants (AGA). They were continuously monitored for 4-6 hours every time, and the indices of aEEG continuity, sleep wake cycle (SWC), inter-burst interval (IBI), minimum and maximum voltage were compared between two groups. Results The frequency of aEEG continuity, the rate of SWC, and the maximum and minimum voltage in SGA group were all lower than those in AGA group, while the IBI was longer than that in AGA group, and there were significant differences (P<0.05). The frequency of aEEG continuity, the rate of SWC, IBI, and the minimum and maximum voltage were similar (all P> 0.05) among birth weight