Severe Bronchopulmonary Dysplasia in the Very Low Birth Weight Infant: Its Relationship to Developmental Outcome

Severe Bronchopulmonary Dysplasia in the Very Low Birth Weight Infant: Its Relationship to Developmental Outcome
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极低出生体重婴儿的严重支气管肺发育不良:其与发育结果的关系

DOI:
10.1097/00004703-198408000-00001
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发表时间:
1984
影响因子:
2.4
通讯作者:
E. Goldson
E. Goldson
中科院分区:
医学4区
文献类型:
--
作者:
E. Goldson

文献摘要

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本研究的目的是评估一组极低出生体重儿(VLBW)的发育结果,有和没有严重的支气管肺发育不良(BPD),在出院时的托儿所。与出生体重和胎龄相匹配的轻度或无BPD的儿童作为对照。所有的孩子都在两岁时进行了发育评估,使用贝利婴儿发育量表。由职业和物理治疗师评估神经运动功能。这些数据表明,与对照组相比,患有严重BPD的儿童在发育测试中表现更差,神经运动病理学的发生率更高。然而,对照组确实表现出可疑的神经运动发现。这些数据表明,BPD婴儿不是一个同质的群体。极低出生体重儿,无论他们是否患有严重的BPD,都有发育迟缓的风险。这些婴儿从托儿所出院时起就应密切监测。
The purpose of this study was to evaluate the developmental outcome of a group of very low birth weight children (VLBW) with and without severe bronchopulmonary dysplasia (BPD), at the time of discharge from the nursery. Children matched for birth weight and gestational age with mild or no BPD served as controls. All of the children were evaluated developmentally at two years of age, using the Bayley Scales of Infant Development. Neuromotor function was assessed by occupational and physical therapists. The data suggested that children with severe BPD performed more poorly on developmental testing and had a higher incidence of neuromotor pathology than did controls. However, the controls did manifest suspicious neuromotor findings. The data suggest that infants with BPD are not a homogeneous group. Very low birth weight infants, whether or not they have severe BPD, are at risk for having developmental delays. These infants should be closely monitored from the time of nursery discharge.