对于极度早产婴儿语言发育的早期医学风险.
Paige M Nelson1, Francesca Scheiber2, Ö Ece Demir-Lira2
1Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, USA. paige-nelson@uiowa.edu.
概括
新生儿疾病,如支气管肺功能障碍症显著影响极度早产婴儿的语言发育. 早期干预对于25周前出生的婴儿至关重要,特别是那些患有早产或严重BPD的视网膜病变的婴儿.
科学领域:
- 新生儿医学 新生儿医学
- 发育儿科 发育儿科
- 语音语言病理学 语音语言病理学
背景情况:
- 极度早产 (EP) 婴儿面临神经发育缺陷的重大风险.
- 语言发展是EP婴儿关心的一个关键领域.
- 了解将早产与语言结果联系在一起的机制至关重要.
研究的目的:
- 调查新生儿疾病在调解妊娠年龄和EP婴儿语言表现之间的关系中的作用.
- 确定影响语言结果的特定疾病.
- 为EP婴儿的目标干预提供信息,这些婴儿面临语言障碍的高风险.
主要方法:
- 在第三级护理中心对极度早产婴儿 (怀孕25周以下的婴儿) 的数据进行二次分析.
- 语言表现的评估 (表达,感受,复合) 和认知在18-26个月的校正年龄.
- 调解分析以检查新生儿发病率 (例如,早产视网膜病变,支气管肺功能障碍症) 在妊娠年龄与语言相关性中的作用.
主要成果:
- 怀孕25-26周出生的婴儿表现出比22-24周出生的婴儿更好的语言和认知结果.
- 早产性视网膜病变 (ROP) 和严重的支气管肺功能失调 (BPD) 部分介导了妊娠年龄对语言技能的影响.
- 早出生 (22-24周) 的婴儿患重度BPD的比率更高,导致认知和语言表现较差.
结论:
- 妊娠年龄显著影响EP婴儿的语言发育.
- 新生儿疾病,特别是ROP和严重的BPD,在这种关系中起着机制性的作用.
- 在25周之前出生或患有ROP/严重BPD的婴儿的家庭需要咨询关于语言障碍风险升高的咨询和主动支持.
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