位置性头骨形和神经发育延迟:对449名婴儿的研究
Joan Pinyot1, David Lacambra1, Maria Garriga1
1Department of Pediatric Surgery, European Craniofacial Medical Center.
The Journal of craniofacial surgery
|February 8, 2024
概括
位置性头骨形 (PSD) 与幼儿神经发育显著延迟 (NDD) 有关,男孩的延迟比女孩更大. 早期监测和多学科的方法对于受影响的婴儿至关重要.
科学领域:
- 儿科神经发育 儿童神经发育
- 头骨面部异常 头骨面部异常
- 发育儿科 发育儿科
背景情况:
- 位置性头骨形 (PSD) 在婴儿中很常见,可能会影响神经发育.
- 评估PSD儿童的神经发育迟缓 (NDD) 对于早期干预至关重要.
- 之前的研究已经探讨了PSD和发育结果之间的联系,但需要更多根据严重程度和性别分层的数据.
研究的目的:
- 在患有定位头骨形症 (PSD) 的患者中调查幼儿时期的神经发育迟缓 (NDD).
- 分析PSD严重程度和性别对神经发育迟缓程度的影响.
- 为PSD婴儿的NDD提供早期识别和管理策略的数据.
主要方法:
- 一项涉及449名被诊断患有PSD的儿童 (3-59个月) 的横截面研究.
- 在骨整形治疗期间和之后使用Battelle发育清单 (BDI) 测试进行神经发育评估.
- 将BDI结果与人体测量结果进行比较,按PSD诊断,严重程度,年龄组和性别分层.
主要成果:
- 95%的评估儿童在至少一个BDI域中表现出显著的NDD.
- 与女性患者相比,男性患者表现出更明显的NDD.
- 特定的形显示出不同程度的延迟:双头和双头联合 (-7个月),双头 (-3.5个月) 和双头 (-3.2个月) 在特定的年龄段.
结论:
- 对于头骨位置变形患者,建议进行神经发育评估,包括BDI测试和混合PSD分类的考虑.
- 一个协调的医疗专家团队应监测被诊断患有PSD的儿童.
- 在患有PSD的婴儿中,早期识别和干预NDD至关重要.
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