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在早产婴儿的两岁神经发育:纠正与年代年龄相比

Barbara Caravale¹, Valentina Focaroli², Elvira Caramuscio³

¹Department of Developmental and Social Psychology, Sapienza University of Rome, 00185 Rome, Italy.

Children (Basel, Switzerland)

|February 27, 2026

概括

年龄校正对于评估早产儿童的发展至24个月至关重要,特别是对于极度早产婴儿,以准确地衡量神经发育的进展,并避免高估延迟.

科学领域:

儿科发展神经科学儿科发展神经科学
新生儿发育评估新生儿发育评估

背景情况:

过早分娩显著增加神经发育迟缓的风险.
在对早产婴儿的发育评估中,年龄校正的必要性和时间受到辩论.

研究的目的:

为了评估早产儿在两岁时的精神运动发育,纠正了年龄.
为了确定这个年龄是否仍然需要进行年龄校正,考虑不同的妊娠年龄组.

主要方法:

161名早产婴儿在平均时间年龄为25.4个月时被评估 (校正年龄:23.3个月).
比较组包括典型发育的儿童,其年龄与校正年龄 (N=88) 和时间年龄 (N=87) 相匹配.
过早产生的婴儿按妊娠年龄分层:极度过早 (<28周),非常过早 (28-31周) 和中度至晚期过早 (32-36周). 贝利-III尺度 (认知,语言,运动) 被分析.

主要成果:

使用校正年龄的方法,早产儿在接受性语言和粗体运动技能方面表现出特定的缺陷.
年代计年龄评分显示,在所有发育领域都有普遍的延迟.
极度早产的婴儿表现出显著的语言脆弱性,由时间分数加剧.

结论:

对于早产儿,尤其是极度或非常早产儿,对年龄进行纠正的评估至关重要,直到24个月为止.
时间分数可能会在早期评估中高估发育迟缓.
建议根据妊娠年龄和发育领域量身定制的年龄校正策略,以准确评估发育轨迹.

关键词:

贝利三号天平是贝利三号天平.年龄纠正年龄纠正神经发育的神经发育过早出生的婴儿早产.

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