APGAR SCORE, MECONIUM AND ACIDEMIA AT BIRTH IN RELATION TO NEONATAL NEUROLOGICAL MORBIDITY IN TERM INFANTS
APGAR SCORE, MECONIUM AND ACIDEMIA AT BIRTH IN RELATION TO NEONATAL NEUROLOGICAL MORBIDITY IN TERM INFANTS
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DOI：
10.1111/j.1471-0528.1986.tb07896.x
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发表时间：
1986-03-01
期刊：
影响因子：
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通讯作者：
HUISJES, HJ
中科院分区：
文献类型：
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作者：
DIJXHOORN, MJ;VISSER, GHA;HUISJES, HJ
本文对805例出生体重正常（AFD）的顺产足月儿进行了Apgar评分、胎粪和出生时酸血症与新生儿神经系统疾病的关系研究。羊水是否有粪染与新生儿神经系统状况无关。1分钟和3分钟Apgar评分与脐动脉pH值相关，但新生儿神经系统优化评分的方差非常低（分别为0.9和0.5%）。Apgar评分和pH值的结合使这些百分比略微增加到1.5。另一方面，在pH值正常但Apgar评分较低的组中，出现神经异常婴儿的频率最高。结论：在AFD足月婴儿中，低Apgar评分、出生时酸血症和/或胎便对新生儿神经系统疾病的预测价值较差。大多数新生儿神经系统异常一定是由其他因素引起的。
The relation between Apgar score, meconium and acidaemia at birth and neonatal neurological morbidity was investigated in 805 vaginally born term infants whose birthweight was appropriate-for-dates (AFD). Presence or absence of meconium stained amniotic fluid was not related to the neonatal neurological condition. The 1-min and 3-min Apgar scores and the umbilical artery pH were related, but the variances explained in neonatal neurological optimality score were very low (0.9 and 0.5% respectively). Combination of Apgar score and pH slightly increased these percentages to 1.5. The highest frequency of neurologically deviant infants was, on the other hand, found in the group with a normal pH but low Apgar score. It is concluded that in AFD term infants nowadays the predictive value of a low Apgar score, acidaemia at birth and/or presence of meconium for the neonatal neurological morbidity is poor. Most neonatal neurological abnormalities must be due to other factors.