早产婴儿的定位头骨形以及它们与健康指标的关联
Alexandra Mosca-Hayler1, Daniela López-Schmidt1, Igor Cigarroa2
1Escuela de Kinesiología, Facultad de Ciencias, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile.
Andes pediatrica : revista Chilena de pediatria
|November 1, 2023
概括
大多数早产婴儿会发展出定位头骨形,主要是轻微的脑. 长时间住院与变形严重程度的增加有关,但早产程度并非如此.
科学领域:
- 新生儿护理 新生儿护理
- 儿科神经学 儿科神经学
- 面部的发育 面部的发展
背景情况:
- 过早生育增加了由于婴儿头骨可塑性而导致位置性头骨形的风险.
- 外部压力很容易使早产儿的头骨变形.
研究的目的:
- 描述早产婴儿的位置性形和相关病理.
- 分析妊娠年龄,出生体重,住院时间和头骨形严重程度之间的关系,使用头骨形不对称指数 (CVAI) 和头骨指数 (CI).
主要方法:
- 一项分析性,横截面研究包括103名早产婴儿,年龄在4个月以下,在早期干预计划 (EIP) 中进行年龄校正.
- 婴儿根据妊娠年龄分类:极度早产 (<28周),非常早产 (28-32周) 和中度至晚期早产 (32-37周).
- 测量包括头周长,直径,对角线,CVAI,CI,以及对产前/产后临床记录的审查.
主要成果:
- 96.1%的早产婴儿患有位置性头骨形,最常见的是轻度头.
- 在早产群体中,头骨测量结果相似.
- 在住院时间和CVAI之间发现了积极的关联;在早产程度和形严重程度之间没有联系.
结论:
- 位置性头骨形,主要是轻微的头,在EIP的早产婴儿中非常普遍,无论早产程度如何.
- 长时间住院的情况与脑症的严重程度有正相关性.
- 过早产生的程度与定位形的严重程度没有相关性.
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