早产儿胼胝体生长率与运动发育迟滞关系的研究

刘芳, 刘皎然, 杜志方, 郑一博, 吕朝霞, 曹士考, 赵丽

中国当代儿科杂志 ›› 2008, Vol. 10 ›› Issue (6) : 701-704.

PDF(1085 KB)
PDF(1085 KB)
中国当代儿科杂志 ›› 2008, Vol. 10 ›› Issue (6) : 701-704.
临床研究

早产儿胼胝体生长率与运动发育迟滞关系的研究

  • 刘芳,刘皎然,杜志方,郑一博,吕朝霞,曹士考,赵丽
作者信息 +

Relationship between the growth rate of corpus callosum and neuromotor delay in premature infants

  • LIU Fang, LIU Jiao-Ran, DU Zhi-Fang, ZHENG Yi-Bo, LU Chao-Xia, CAO Shi-Kao, ZHAO Li
Author information +
文章历史 +

摘要

目的:研究早产儿胼胝体生长率与神经运动发育之间的关系。方法:2007年3~8月入住新生儿重症监护病区胎龄小于34周早产儿50例,于生后0~6周接受经前囟门矢状位颅脑超声探查,胼胝体长度测量为从膝部至压部。所有早产儿于校正胎龄3月时接受52项神经运动检查, 分析胼胝体生长率与神经运动检查结果之间的关系。结果:早产儿出生时的胼胝体平均长度为39.16 mm,生后头6周,胼胝体生长率平均1.05 mm/周;神经运动检查异常组早产儿(n=14)和神经运动检查正常组早产儿(n=36)0~2周胼胝体生长率差异无显著性意义,P>0.05, 但神经运动检查异常组早产儿2~3周和4~5周胼胝体生长率(0.68 mm/周和0.86 mm/周)慢于正常组早产儿(1.17 mm/周和1.12 mm/周),差异有显著性意义(P<0.05),合并2~6周总的生长率,异常组仍然慢于正常组(0.91 mm/周比1.15 mm/周),差异有显著性意义(P<0.01)。结论:床旁超声监测早产儿胼胝体生长发育切实可行,早产儿于校正胎龄3月时神经运动发育迟滞可能与2~6周龄时胼胝体生长率低下有关。

Abstract

OBJECTIVE: To study the relationship between the growth rate of the corpus callosum and neurological motor development in premature infants. METHODS: Fifty infants whose gestational ages were less than 34 weeks and who were admitted to the neonatal intensive care unit from March 2007 to August 2007 were enrolled. From 0 to 6 weeks of postnatal age, the sagittal midline cranial sonography via anterior fontanel was performed, once weekly. The length and the morphology of the corpus callosum were measured. The 52-neuromotor examinations were performed at 3 months of corrected gestational age. RESULTS: The mean length of the corpus callosum was 39.16 mm at birth. The mean growth rate of the corpus callosum during the first 6 weeks of life was 1.05 mm/week. Fourteen infants showed abnormal neuromotor development and 36 had normal neuromotor function at 3 months of corrected gestational age. A decreased growth rate of the corpus callosum was observed in the abnormal nervimotion group between 2 and 3 weeks (0.68 mm/week vs 1.17 mm/week) and between 4 and 5 weeks (0.86 mm/week vs 1.12 mm/week) after birth compared with that in normal nervimotion group (P<0.05). The total growth rate of the corpus callosum from 2 to 6 weeks after birth in the abnormal nervimotion group was also lower than that in the normal nervimotion group (0.91 mm/week vs 1.15 mm/week; P<0.01). CONCLUSIONS: A neuromotor delay at 3 months of corrected gestational age may be associated with the decreased growth rate of the corpus callosum between 2 and 6 weeks of life in premature infants.

关键词

超声检查 / 胼胝体 / 脑发育 / 婴儿,新生,早产

Key words

Ultrasonography / Corpus callosum / Cerebral development / Premature infant

引用本文

导出引用
刘芳, 刘皎然, 杜志方, 郑一博, 吕朝霞, 曹士考, 赵丽. 早产儿胼胝体生长率与运动发育迟滞关系的研究[J]. 中国当代儿科杂志. 2008, 10(6): 701-704
LIU Fang, LIU Jiao-Ran, DU Zhi-Fang, ZHENG Yi-Bo, LU Chao-Xia, CAO Shi-Kao, ZHAO Li. Relationship between the growth rate of corpus callosum and neuromotor delay in premature infants[J]. Chinese Journal of Contemporary Pediatrics. 2008, 10(6): 701-704
中图分类号: R722   

PDF(1085 KB)

Accesses

Citation

Detail

段落导航
相关文章

/