Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
复制标题
DOI：
10.3791/3368
复制
发表时间：
2014-08-01
影响因子：
1.2
通讯作者：
Bigsby, Rosemarie
中科院分区：
文献类型：
--
作者：
Lester, Barry M.;Andreozzi-Fontaine, Lynne;Bigsby, Rosemarie
对新生儿神经行为完整性的评估一直是一个长期的兴趣。NICU网络神经行为量表（NNNS）被开发作为对高危婴儿的评估。这些婴儿由于产前发育过程中的损伤，如物质暴露或早产或贫困，营养不良或缺乏产前护理等因素，可能对宫内环境产生不利影响并影响发育中的胎儿，因此发育不良的风险增加。NNNS评估婴儿神经行为表现的全方位，包括神经完整性、行为功能和压力/禁欲体征。NNNS是一种非侵入性的新生儿评估工具，其有效性已得到证实，不仅可以预测脑瘫诊断、神经系统异常和对大脑有风险的疾病等医疗结果，还可以预测智力和运动功能、行为问题、入学准备和智商等发育结果。NNNS可以识别异常发育结果的高风险婴儿，是一种重要的临床工具，使医学研究人员和卫生从业人员能够识别这些婴儿并制定干预计划，以尽早优化这些婴儿的发育。该视频展示了NNNS程序，显示了正常和异常性能的示例以及可以使用该检查的各种临床人群。
There has been a long-standing interest in the assessment of the neurobehavioral integrity of the newborn infant. The NICU Network Neurobehavioral Scale (NNNS) was developed as an assessment for the at-risk infant. These are infants who are at increased risk for poor developmental outcome because of insults during prenatal development, such as substance exposure or prematurity or factors such as poverty, poor nutrition or lack of prenatal care that can have adverse effects on the intrauterine environment and affect the developing fetus. The NNNS assesses the full range of infant neurobehavioral performance including neurological integrity, behavioral functioning, and signs of stress/abstinence. The NNNS is a noninvasive neonatal assessment tool with demonstrated validity as a predictor, not only of medical outcomes such as cerebral palsy diagnosis, neurological abnormalities, and diseases with risks to the brain, but also of developmental outcomes such as mental and motor functioning, behavior problems, school readiness, and IQ. The NNNS can identify infants at high risk for abnormal developmental outcome and is an important clinical tool that enables medical researchers and health practitioners to identify these infants and develop intervention programs to optimize the development of these infants as early as possible. The video shows the NNNS procedures, shows examples of normal and abnormal performance and the various clinical populations in which the exam can be used.