在新生儿出生与先天性胃肠道异常的一般运动评估:一个单位,回顾性研究研究
Lisa Soumekh1, Samantha Bell1, Sandra L Espinosa1
1Department of Pediatrics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
概括
患有胃肠道异常的婴儿经常表现出异常的总体运动,类似于出生时极低体重的婴儿. 这些群体之间具体的扭动运动模式有很大的不同,这表明了潜在的运动缺陷风险.
科学领域:
- 新生儿神经学 新生儿神经学
- 发育儿科 发育儿科
- 胃肠病学 胃肠病学
背景情况:
- 一般运动 (GMs) 对于评估婴儿的神经发育至关重要.
- 先天性胃肠道 (GI) 异常会影响神经发育结果.
- 众所周知,极低出生体重 (ELBW) 的婴儿患运动障碍的风险更高.
研究的目的:
- 对于具有先天性肠胃异常的新生儿的一般运动的特征.
- 为了将这些运动与ELBW婴儿的运动进行比较.
- 为了确定潜在的早期生物标志物对于运动缺陷.
主要方法:
- 追溯性,单个地点的研究设计.
- 包括两个组:新生儿有肠胃异常和ELBW婴儿 (出生体重<1公斤).
- 主要结果指标:一般运动评估 (GMA).
主要成果:
- 分析了96名婴儿 (51个GI组,45个ELBW组).
- 在不同组之间观察到异常扭曲 (61%vs. 59%) 和不安动作 (20%vs. 36%) 的比较率.
- 在扭曲运动质量方面发现了显著的差异:GI组的100%糟糕的曲目,而ELBW组的50%糟糕的曲目和50%紧张的同步曲目 (p < 0.001).
结论:
- 患有先天性消化道异常的新生儿存在异常一般运动的显著风险.
- 异常的动动作可能是这种人群未来运动缺陷的早期指标.
- 了解转基因模式可以帮助早期检测和干预运动障碍.
相关概念视频
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
37
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
37
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
63
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
63
01:20Gastrointestinal Motility Disorders
240
Gastrointestinal or GI motility disorders are characterized by irregular gastrointestinal tract movements, disrupting food transit from the mouth to the anus. They are caused by damage or dysfunction in gut muscles or nerves. These disorders can cause symptoms such as severe constipation, diarrhea, abdominal pain, and swallowing difficulties. Disorders can affect any segment of the GI tract and range widely in severity, from common conditions like GERD to life-threatening conditions like...
240
01:17Assessment of the Gastrointestinal System I: Subjective Data
131
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
131
01:25Assessment of the Rectum and Anus
132
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
132
01:25Assessment of the Abdomen I: Inspection and Auscultation
238
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
238