窒息新生儿的行为测定和早期干预  

Neonatal Behavioral Neurological Assessment and Early Intervene in Neonates with Asphyxia

作　　者：陈碧琴[1] 彭巧娣[1] 

机构地区：[1]复旦大学附属金山医院儿科,上海200540

出　　处：《中国临床医学》2003年第6期890-891,共2页Chinese Journal of Clinical Medicine

摘　　要：目的 :探讨行为测定 (neonatalbehavioralneurologicalassessment,NBNA)在窒息新生儿中的作用和早期干预对窒息新生儿智力发育的影响。方法 :76例窒息儿均作行为测定并随机分为干预组 39例 ,对照组 37例 ,对干预组从新生儿起干预至 2 4个月。结果 :行为测定显示窒息主要影响到非生物听、视定向反应 ,其次为主动肌张力的改变 ,生后 2周NBNA <35分的患儿中发生DQ异常和脑瘫的病例较多 ,两组患儿在 2 4个月时盖氏测定总DQ ,干预组 10 8.9± 14 .36 ,对照组 93.4± 15 .35 ,干预组明显高于对照组 (t=4 .4 5 3P <0 .0 1)。结论 :早期干预能促进窒息儿的智能发育 。Objective: To detect the effects of neonatal behavioral neurological assessment (NBNA) in neonate with asphyxia and the influence of early intervention on intelligence development in asphyxia neonate. Methods: 76 neonates with asphyxia were divided at random into intervene group of 39 cases and control group of 37 cases. All of them were performed for NBNA. The intervene group were interfered from neonate to 24 months of age. Results: NBNA showed that asphyxiation influence mainly on nonbiological auditory-direct reaction and sight-directing reaction and then change of active muscle tension. The patients with NBNA score < 35 at two weeks after birth had more opportunity to suffer from brain paralysis than the patients with NBNA score above 35. By comparing Giselle measurement at 24 month, the total DQ of 108.9±14.36 in intervene group was higher than that of 93.4±15.35 in contrast group significantly(t=4.453 P<0.01). Conclusion: The early intervene can promote intelligent development of asphyxia neonates and NBNA has significance for of early interfering in neonates with asphyxia.

关 键 词：行为测定 早期干预 新生儿窒息 儿童伤残 缺氧缺血性脑病 智能发育 评估 

分 类 号：R722.12[医药卫生—儿科]