Relations Between Infant Neurobehavioral Performance and Cognitive Outcome in Very Low Birth Weight Preterm Infants
Relations Between Infant Neurobehavioral Performance and Cognitive Outcome in Very Low Birth Weight Preterm Infants
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极低出生体重早产儿婴儿神经行为表现与认知结果之间的关系
DOI：
10.1097/00004703-199510000-00001
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发表时间：
1995
影响因子：
2.4
通讯作者：
H. Vaughan
中科院分区：
文献类型：
--
作者：
I. Wallace;S. Rose;C. Mccarton;D. Kurtzberg;H. Vaughan
在 144 名极低出生体重（<1500 g）早产儿中检查了新生儿神经行为表现三个方面的预测效用，并随访至 6 岁。源自爱因斯坦新生儿神经行为评估量表的视觉跟随和听觉导向综合评分与几个年龄段的智力发育指数 (MDI) 和 IQ 分数有一定相关性，而主动运动综合评分仅与 1 岁时的 MDI 评分相关（已校正）。在视觉跟随和听觉定向综合表现上表现异常的婴儿在 1 岁和 6 岁时认知测试得分显着较低，并且更有可能在 6 岁时被归类为低于平均水平（智商 < 85）。组间差异与新生儿健康状况和运动评分无关，并且与患有严重感觉障碍的儿童的表现无关。这些发现表明，在新生儿期测量的视觉跟随和听觉定向可以提供一种索引初始能力的有用方法。
The predictive utility of three aspects of neonatal neurobehavioral performance was examined in 144 very low birth weight (<1500 g) preterms who were followed until 6 years of age. Visual-following and auditory-orienting composites derived from the Einstein Neonatal Neurobehavioral Assessment Scale were modestly related to the Mental Developmental Index (MDI) and IQ scores at several ages, whereas the active motility composite was only related to MDI scores at 1 year of age (corrected). Infants who showed deviant performance on both visual following and auditory orienting composites had significantly lower cognitive test scores at 1 and 6 years of age and were more likely to be classified as subaverage at 6 years of age (IQ < 85). Group differences were independent of both neonatal health status and motor scores and were not due to the performance of children with severe sensory impairments. These findings suggest that visual following and auditory orienting measured in the neonatal period can offer a useful way of indexing initial capacities.