对 Tshwane 地区 6 周和 10 周大的健康足月儿进行神经系统检查。

IF 1 Q4 REHABILITATION
South African Journal of Physiotherapy Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI:10.4102/sajp.v80i1.2072
Marna Nel, Ute Feucht, Helen Mulol, Carina A Eksteen
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引用次数: 0

摘要

背景:在全球范围内,尽管 6 周已被确定为神经行为发育的关键里程碑,但 3 个月以下婴儿的详细神经发育数据仍存在巨大差距。许多地方都缺乏产后 6 周和 10 周健康婴儿的标准值和最佳评分。在南非,这些年龄段的法定神经发育评估不包括中枢神经系统成熟的显著特征,也限制了收集早期发育进展数据的机会:我们的研究旨在使用哈默史密斯新生儿神经系统检查(HNNE)评估 6 周和 10 周大的健康足月婴儿的发育特征:方法:我们对茨瓦尼地区低风险妊娠中出生后 6 周和 10 周的 35 名健康足月婴儿进行了前瞻性纵向研究。使用 HNNE 记录了婴儿在六个领域的神经发育状况。以第 10 和第 5 百分位数为分界点,从 34 个项目的原始分数中得出最佳分数:结果:有证据表明,6 到 10 周的婴儿在神经发育方面取得了进步,尤其是在姿势、肌肉张力和视觉行为方面,6 周和 10 周婴儿的检查优化总分分别为 29.5 分(91%)和 31.5 分(94%):本文提供了足月后 6 至 10 周婴儿神经发育特征的数据:研究结果支持在早期筛查中识别重要里程碑特征的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neurological examination of healthy term infants at ages 6 and 10 weeks in Tshwane District.

Background: Globally, there is a significant gap in detailed neurodevelopmental data for infants under 3 months, despite 6 weeks being identified a critical milestone for neuro-behavioural development. Normative values and optimal scores for healthy infants at 6 and 10 weeks postnatally are lacking in many settings. In South Africa, the statutory neurodevelopmental assessments at these ages exclude notable characteristics of central nervous system maturation and limit opportunities to collect data of early developmental progress.

Objectives: Our study aimed to assess developmental characteristics of healthy term infants aged 6 and 10 weeks using the Hammersmith Neonatal Neurological Examination (HNNE).

Method: A prospective longitudinal study was performed on 35 healthy term-born infants from low-risk pregnancies at 6 and 10 weeks' postnatal age in the Tshwane district. The statuses of infants' neurodevelopment in six domains were recorded using the HNNE. Optimality scores were derived from the raw scores of 34 items, using the 10th and 5th percentiles as cut-off points.

Results: Evidences of neurodevelopmental advancements, particularly in posture, muscle tone and visual behaviour between 6 and 10 weeks were illustrated, and total examination optimality scores of 29.5 in 91% and 31.5 in 94% of infants were recorded at 6 and 10 weeks, respectively.

Conclusion: This article provides data on the neurodevelopment characteristics of infants at and between 6- and 10-weeks post term ages.

Clinical implications: The findings support the viewpoint to identify important milestone characteristics during early screening.

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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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