Follow-up of very low birthweight babies to adolescence.
Follow-up of very low birthweight babies to adolescence.
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DOI：
10.1053/siny.1999.0003
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发表时间：
2000-05-01
期刊：
影响因子：
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通讯作者：
Saigal, S
中科院分区：
文献类型：
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作者：
Saigal, S
关于极低出生体重儿（VLBW）的学龄期结局和青春期行为困难的报告才刚刚出现。将极低出生体重与相同年龄对照组进行比较的研究一致显示出明显较差的表现，平均得分低8至13分。即使没有神经损伤的儿童在认知和成就方面的得分也明显较低。极低出生体重（ELBW）的青少年在所有指标上表现更差，在数学方面表现尤其差。极低出生体重青少年中有很高比例（15%-20%），极低出生体重青少年中有更高比例（30%-50%）正在接受补救援助和/或留级。关于行为问题是否随着年龄的增长而增加或改善，有相互矛盾的报道，但大多数研究表明，在青春期，极低出生体重人群的问题仍然比同龄人大得多。应该对目前的幸存者进行方法上严格的研究，直到学龄，以确定1990年代的技术革新是否有助于减少心理教育和行为方面的困难。未来的研究还应致力于及早发现学校困难，并制定针对最脆弱婴儿的干预战略。
Reports on the school-age outcomes and behavioural difficulties at adolescence of infants who were very low birthweight (VLBW) are only just emerging. Studies which compare VLBW with same age controls consistently show significantly poorer performance, with average scores between 8 and 13 points lower. Even children with no neurological impairments have scores which are significantly lower on cognitive and achievement measures. The extremely low birthweight (ELBW) adolescents fare worse on all measures and perform particularly poorly in mathematics. A high proportion of VLBW adolescents (15%-20%), and an even higher proportion of ELBW adolescents (30%-50%), are receiving remedial assistance and/or have failed a grade. There are conflicting reports on whether the behavioural problems increase or improve with age, but most studies show that at adolescence the problems are still significantly greater in the VLBW cohort than in their peers. Methodologically rigorous studies of the current survivors to school-age should be conducted to determine whether the technological innovations in the 1990s have contributed to a reduction in psychoeducational and behavioural difficulties. Future research should also be directed towards early identification of school difficulties and development of intervention strategies targeted to the most vulnerable infants.