在极度早产的婴儿中,阿普加尔评分和神经发育结果在5岁时
Harald Ehrhardt1, Adrien M Aubert2, Ulrika Ådén3
1Division of Neonatology and Pediatric Intensive Care Medicine, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.
JAMA network open
|September 6, 2023
概括
极度早产婴儿的低Apgar分数不能预测长期的神经发育结果. 这项研究发现,早期阿普加尔评分与5岁时的认知或运动功能之间没有关联.
科学领域:
- 新生儿科学 新生儿科学
- 发育儿科 发育儿科
- 公共卫生 公共卫生
背景情况:
- 阿普加尔评分是衡量新生儿活力的标准指标.
- 它在预测极度早产婴儿 (<28周妊娠期) 神经发育结果中的实用性尚未得到充分证实.
研究的目的:
- 为了检查阿普加尔分数和极度早产婴儿的神经发育结果之间的关系.
主要方法:
- 一项基于人口的欧洲队列研究 (EPICE-SHIPS) 包括极其早产的婴儿.
- 认知和运动功能在5岁时使用标准化测试进行评估.
- 在5分钟的Apgar分数被分为四组.
主要成果:
- 在5岁时的Apgar分数 (包括非常低的分数) 和智商之间没有发现显著的关联.
- 阿普加尔评分与沟通,解决问题或运动功能的结果没有相关性.
- 在调整了各种临床和人口因素后,这些发现仍然是一致的.
结论:
- 阿帕尔分数不能可靠地预测极度早产婴儿的长期神经发育结果.
- 可能的原因包括Apgar评分的变化以及新生儿因素和产后暴露的复杂相互作用.
更多相关视频
相关概念视频
Binet's Contribution to Measures of Intelligence
Alfred Binet, along with his student Théophile Simon, was tasked by the French Ministry of Education in 1904 to create a method for identifying students who struggled to learn through conventional classroom instruction. This initiative aimed to address overcrowding by placing such students in specialized schools. Binet and Simon developed an intelligence test comprising 30 tasks, ranging from simple commands, like touching one's nose or ear, to more complex tasks, such as drawing designs from...
Introduction to Developmental Psychology
Developmental psychology explores the changes and continuities in human abilities throughout life, encompassing physical, cognitive, linguistic, and social dimensions. Human development is not restricted to growth, but includes aspects of decline, particularly in physical abilities as individuals age. Developmental psychologists seek to understand how people change as they age and how their mental and social skills evolve.Developmental MilestonesA key concept in developmental psychology is...
Intellectual Disability
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...


