摘要
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 investigate the transport influence on the intellectual development of premature infants. Methods One hundred and forty one premature infants who were transported to our hospital in 2007 are selected as the transported group, and 100 paired premature infants who were born in our hospital during the same period as the control group. All clinical condition of the control group, such as the gestation age, birth weight and the incidence of RDS, ICH and PVL are matched with the transported group. No cases are suffering from asphyxia. Both groups are divided into three age groups based on the gestation age： 〈 32 weeks, between 32 and 34 weeks and 〉 34 weeks. Every premature infant is analyzed and scored by neonatel behavioral neurological assessment and neuropsychological examination talde for children methods. The summary results of each age group are compared statistically to investigate the influence of transportation on premature infants＇ intellectual development. Results （ 1 ） For gestation age 〈 32 weeks ： the scores of NBNA （34. 6 ± 1.5 vs 35.0 ± 1.3 ） and INET （88.5 ±8.0 vs 91.7 ± 10. 1 ） are no significant difference between two groups （ P 〉 O. 05 ）. （2） For gestation age between 32 and 34 weeks ： the score of NBNA of the transported group （ 34.7 ± 1.1 ） is less than the control group （35. 5 ± 0. 9） with significant difference （P 〈 0. 05 ） ; The difference of INET scores （92. 0 ± 8.8 vs 97.1 ± 11.3 ） is no significant （ P 〉 0. 05 ） ; （ 3 ） For gestation age 〉 34 weeks ： the both scores of NBNA （35.5 ± 1.3 vs 35.5 ± 0. 8） and INET （96. 6 ± 9. 4 vs 97.0 ± 10. 5 ） of the two groups are no significant difference （P 〉 0. 05 ）. Conchmion To master the transfer indication, to well prepare for pre-transport, to handle the problems properly during transportation and to provide early intervention to premature, we can reduce or even avoid the disadvantage of transportation to the intellectual development of premature infants.
出处
《中国新生儿科杂志》
CAS
2010年第1期20-23,共4页
Chinese Journal of Neonatology
基金
广东省医学科学技术研究基金项目(A1999084)
关键词
婴儿
早产
转运
婴儿行为
Infant, premature
Transport
Infant behavior
