CAJ | 학술논문

目的：了解足月新生儿早期行为神经发育水平,探讨行为神经评分与出生体质量及胎龄的相关性.方法2012年5-9月,采用便利抽样法选取莆田学院附属医院妇产科出生的单胎正常足月儿93例,采用新生儿20项行为神经测定(neo-natal behavior neurological assessment,NBNA)法于新生儿出生后48~72 h分别检测25例小于胎龄新生儿(small for gesta-tional age,SGA)、35例适于胎龄新生儿(appropriate for gestational age,AGA)和31例大于胎龄新生儿(large for gestational age,LGA)的行为神经能力.结果与 AGA组相比,SGA 组、LGA 组新生儿的 NBNA 总分、行为能力、主动肌张力、一般反应、对格格声反应、对说话人的反应、红球反应、牵拉反射、活动度评分等均明显降低(P＜0．05)；SGA组新生儿 NBNA各项目评分与出生体质量及胎龄呈正相关,而 LGA组新生儿 NBNA各项目评分则与出生体质量及胎龄呈负相关.结论新生儿早期行为神经评分与出生体质量及胎龄相关；应加强孕妇的孕期保健以减少 SGA及 LGA的发生,对早期发现有行为神经轻微异常的新生儿,应及早进行干预,以促进其行为神经的正常发育.
목적：료해족월신생인조기행위신경발육수평,탐토행위신경평분여출생체질량급태령적상관성.방법2012년5-9월,채용편리추양법선취보전학원부속의원부산과출생적단태정상족월인93례,채용신생인20항행위신경측정(neo-natal behavior neurological assessment,NBNA)법우신생인출생후48~72 h분별검측25례소우태령신생인(small for gesta-tional age,SGA)、35례괄우태령신생인(appropriate for gestational age,AGA)화31례대우태령신생인(large for gestational age,LGA)적행위신경능력.결과여 AGA조상비,SGA 조、LGA 조신생인적 NBNA 총분、행위능력、주동기장력、일반반응、대격격성반응、대설화인적반응、홍구반응、견랍반사、활동도평분등균명현강저(P＜0．05)；SGA조신생인 NBNA각항목평분여출생체질량급태령정정상관,이 LGA조신생인 NBNA각항목평분칙여출생체질량급태령정부상관.결론신생인조기행위신경평분여출생체질량급태령상관；응가강잉부적잉기보건이감소 SGA급 LGA적발생,대조기발현유행위신경경미이상적신생인,응급조진행간예,이촉진기행위신경적정상발육.
Objective To understand behavior neurological development of early full-term newborn,and to analyze the relationships among neonatal behavior neurological assessment,birth weigh and gestational age. Methods By convenience sampling,9 3 cases were selected,and Neonatal Behavior Neurological Assess-ment(20 items)was used to evaluate the behavior neurological ability of 25 small for gestational age infants (SGA),3 5 appropriate for gestational age infants(AGA)and 3 1 large for gestational age infants(LGA)at 48-72 hours after birth.Results Compared with the AGA group,the NBNA total score,behavioral capacity, initiative muscle tonus,general reaction,response to the noise of chuckle,response to the moving red ball, traction reaction,activity in the SGA group and LGA group were significantly lower(P<0.05).They were positively correlated with birth weigh and gestational age in the SGA group,while they were negatively correlated with birth weigh and gestational age in the LGA group.Conclusion The early behavior neuro-logical score is correlated with birth weigh and gestational age.Pregnant women should enhance antenatal care to reduce the incidence of SGA and LGA.We should conduct early intervention to neonates found mild dysfunction of nervous system early,and it is helpful to promote their behavior neurological development.