一般运动和头部磁共振成像预测早产儿和低出生体重儿脑瘫。

Yuu Uchio, Naoko Shima, Tetsuo Ikai
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引用次数: 0

摘要

【目的】本研究旨在确定全身运动评估与头部磁共振成像相结合预测早产儿和低出生体重儿脑瘫的准确性。【对象与方法】本回顾性观察性研究分析2010 - 2017年某大学附属医院新生儿重症监护病房收治患者的临床常规资料。本研究纳入154例极低出生体重儿(平均胎龄28.8±3.1周,出生体重1003.7±307.4 g)。这些婴儿被分为脑瘫组和非脑瘫组。我们研究了综合一般运动评估和头部磁共振成像结果是否与脑瘫的发展有关。此外,我们计算了每个评估的敏感性和特异性。[结果]所有的评估都与脑瘫的存在与否有关。其中,即使头部磁共振成像未被归类为异常,但头部磁共振成像表现异常或全身运动不良的婴儿的敏感性和特异性最高,分别为92.7%和97.9%。[结论]综合运动评估和头部磁共振成像结果对预测脑瘫有一定的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
General movements and head magnetic resonance imaging to predict cerebral palsy in preterm and low birth weight infants.

[Purpose] This study aimed to determine the accuracy of combining general movements assessment and head magnetic resonance imaging in predicting cerebral palsy in preterm and low birth weight infants. [Participants and Methods] This retrospective observational study analyzed clinical routine data of patients admitted to the neonatal intensive care unit of a university hospital between 2010 and 2017. The study included 154 very low birth weight infants (mean gestational age 28.8 ± 3.1 weeks, birth weight 1003.7 ± 307.4 g). The infants were classified into a cerebral palsy group or a non-cerebral palsy group. We examined whether combining general movements assessment and head magnetic resonance imaging findings were associated with the development of cerebral palsy. Additionally, we calculated the sensitivity and specificity of each assessment. [Results] All assessments were associated with the presence or absence of cerebral palsy. Among them, the highest sensitivity and specificity, 92.7% and 97.9%, respectively, were observed in infants with abnormal head magnetic resonance imaging findings or poor general movements, even if the head magnetic resonance imaging was not classified as abnormal. [Conclusion] The combination of general movements assessment and head magnetic resonance imaging findings is useful for predicting cerebral palsy.

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