早产婴儿的心率变化在出生前预测3至5岁时自主症状
Noa Zohar1, Michal Katz-Leurer1, Luba Zuk1
1Department of Physical Therapy, Faculty of Medicine, School of Health Professions, Tel Aviv University, Tel Aviv, Israel.
AJP reports
|July 31, 2024
概括
自主症状影响到27%的早产婴儿在5岁时. 早期心率控制可能会预测这些儿童以后的自主功能障碍.
科学领域:
- 儿科 儿科 儿科
- 新生儿科学 新生儿科学
- 自主神经科学 自主神经科学
背景情况:
- 在怀孕28至32周之间出生的早产婴儿有发育问题的风险.
- 自主神经系统 (ANS) 功能对整体健康和发育至关重要.
- 在没有重大医学并发症的中度早产婴儿中,长期自主功能尚未得到充分理解.
研究的目的:
- 在3-5岁的中度过早出生 (28-32周怀孕) 儿童中特化自主功能.
- 为了确定这个人群中自主性缺陷的潜在预测因素.
- 评估自主症状的流行率和相关的神经发育结果.
主要方法:
- 在怀孕28-32周之间出生的40名婴儿的随访研究.
- 通过父母的病史,自主功能和发育里程碑 (例如,行走年龄) 的报告收集的数据.
- 评估心率控制系统在出生前的功能,用于预测分析.
主要成果:
- 27% (11/40) 的参与者在3-5岁时表现出自主症状.
- 在早期心率控制和晚期自主功能障碍之间发现了预测性联系.
- 14/40名儿童接受了神经发育治疗,但不是专门针对自主症状.
结论:
- 自主功能障碍在中度早产的儿童中普遍存在.
- 早期的自主性措施,特别是心率控制,可以预测以后的自主性缺陷.
- 对于早产婴儿的自主性问题,需要提高意识和有针对性的干预措施.
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