{"title":"“新生儿败血症后早产新生儿临床检查的价值:一项横断面观察研究”。","authors":"Marina Ortega Golin, Fabíola Isabel Suano Souza, Laércio da Silva Paiva, Roseli Oselka Sacardo Sarni","doi":"10.1080/17518423.2021.1941372","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Neonatal sepsis is an important risk factor for lesions in the brain of preterm newborns (PTNB) and the most effective strategies to minimize its deleterious effects are early detection and intervention.</p><p><strong>Aim: </strong>To investigate the presence of neurological abnormalities in PTNBs after neonatal sepsis.</p><p><strong>Methods: </strong>This was a prospective cross-sectional study with 100 PTNBs selected at random, 50 of the study group (sepsis) and 50 of the control group (non-sepsis). The neurological evaluation protocol adopted was the Hammersmith Neonatal Neurological Examination (HNNE).</p><p><strong>Results: </strong>The PTNBs of the sepsis group had total HNNE scores lower than expected for normality in 86% of the cases, and the non-sepsis group in 26% (<i>p</i> < .001). Higher prevalence levels of altered scores in tone category (<i>p</i> < .001), tone patterns (<i>p</i> = .026), reflexes (<i>p</i> = .002), movements (<i>p</i> < .001), abnormal signs (<i>p</i> < .001) and behavior (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>The neurological dysfunctions after neonatal sepsis could be identified by clinical neonatal neurological evaluation.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":"25 2","pages":"80-86"},"PeriodicalIF":1.1000,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17518423.2021.1941372","citationCount":"0","resultStr":"{\"title\":\"\\\"The Value of Clinical Examination in Preterm Newborns after Neonatal Sepsis: A Cross-sectional Observational Study.\\\"\",\"authors\":\"Marina Ortega Golin, Fabíola Isabel Suano Souza, Laércio da Silva Paiva, Roseli Oselka Sacardo Sarni\",\"doi\":\"10.1080/17518423.2021.1941372\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Neonatal sepsis is an important risk factor for lesions in the brain of preterm newborns (PTNB) and the most effective strategies to minimize its deleterious effects are early detection and intervention.</p><p><strong>Aim: </strong>To investigate the presence of neurological abnormalities in PTNBs after neonatal sepsis.</p><p><strong>Methods: </strong>This was a prospective cross-sectional study with 100 PTNBs selected at random, 50 of the study group (sepsis) and 50 of the control group (non-sepsis). The neurological evaluation protocol adopted was the Hammersmith Neonatal Neurological Examination (HNNE).</p><p><strong>Results: </strong>The PTNBs of the sepsis group had total HNNE scores lower than expected for normality in 86% of the cases, and the non-sepsis group in 26% (<i>p</i> < .001). Higher prevalence levels of altered scores in tone category (<i>p</i> < .001), tone patterns (<i>p</i> = .026), reflexes (<i>p</i> = .002), movements (<i>p</i> < .001), abnormal signs (<i>p</i> < .001) and behavior (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>The neurological dysfunctions after neonatal sepsis could be identified by clinical neonatal neurological evaluation.</p>\",\"PeriodicalId\":51227,\"journal\":{\"name\":\"Developmental Neurorehabilitation\",\"volume\":\"25 2\",\"pages\":\"80-86\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2022-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1080/17518423.2021.1941372\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Developmental Neurorehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/17518423.2021.1941372\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/8/4 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Developmental Neurorehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/17518423.2021.1941372","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/8/4 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景:新生儿脓毒症是早产新生儿脑损伤的重要危险因素，早期发现和干预是减少其有害影响的最有效策略。目的:探讨新生儿脓毒症后PTNBs患者是否存在神经系统异常。方法:这是一项前瞻性横断面研究，随机选择100例ptnb，研究组(败血症)50例，对照组(非败血症)50例。采用Hammersmith新生儿神经系统检查(HNNE)进行神经系统评估。结果:脓毒症组PTNBs HNNE总分低于正常值的比例为86%，非脓毒症组为26% (p = 0.026)，反射(p = 0.002)，运动(p p p)结论:新生儿脓毒症后的神经功能障碍可通过临床新生儿神经学评价来识别。
"The Value of Clinical Examination in Preterm Newborns after Neonatal Sepsis: A Cross-sectional Observational Study."
Background: Neonatal sepsis is an important risk factor for lesions in the brain of preterm newborns (PTNB) and the most effective strategies to minimize its deleterious effects are early detection and intervention.
Aim: To investigate the presence of neurological abnormalities in PTNBs after neonatal sepsis.
Methods: This was a prospective cross-sectional study with 100 PTNBs selected at random, 50 of the study group (sepsis) and 50 of the control group (non-sepsis). The neurological evaluation protocol adopted was the Hammersmith Neonatal Neurological Examination (HNNE).
Results: The PTNBs of the sepsis group had total HNNE scores lower than expected for normality in 86% of the cases, and the non-sepsis group in 26% (p < .001). Higher prevalence levels of altered scores in tone category (p < .001), tone patterns (p = .026), reflexes (p = .002), movements (p < .001), abnormal signs (p < .001) and behavior (p < .001).
Conclusion: The neurological dysfunctions after neonatal sepsis could be identified by clinical neonatal neurological evaluation.
期刊介绍：
Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.
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