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妊娠糖尿病母亲所生新生儿神经行为发育观察

Observation on Neurological Behaviour Development of Neonates with Diabetic Mother in Pragnancy.

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【作者】 吴育群; 宋燕燕; 邹红梅; 李智华; 赵吉吉;

【Author】 WU Yu qun, SONG Yan yan, ZOU Hong mei,et al. (Department of Pediatrics, Women and Children’s Hospital of Guangzhou, Guangzhou,Guangdong 510180,China)

【机构】 广州市妇幼医院儿科!广东广州510180;

【摘要】 【目的】 为了解妊娠糖尿病对围产新生儿神经行为发育的影响 ,及早发现问题 ,以便有针对性地进行干预。 【方法】 我们于 1995年 1月~ 2 0 0 0年 12月对 46例妊娠糖尿病母亲所生的新生儿进行了 2 0项神经行为测定 (NBNA)。 【结果】 检测组中有 2 6.1%生后 7天NBNA总分≤ 3 5分 ,在NBNA五大项目比较中 ,被动肌张力有显著性差异 (P <0 .0 5 ) ,主动肌张力及脑电图检查有非常显著性差异 (P <0 .0 1)。 【结论】 对妊娠糖尿病母亲所生高危新生儿 ,应重视对新生儿神经行为发育的影响 ,通过NBNA测定和EEG的检查 ,能早期发现轻微脑损伤的婴儿 ,对优生优育有重要意义

【Abstract】 Objective To understand the effect of pregnancy disbetes on neurological behaviour development of neonate for finding out abnormality and exactly intervening. Methods 20 items of Neonatal Behavioral Neurological Assessment(NBNA) was tested in 46 neonates with diabetic mother in pregnancy from January 1995 to December 2000. Results 26.1% of subjects had total NBNA score≤35 at 7th day after birth. There was significant difference in passive muscular tonicity( P <0.05) and great significant difference in active muscular tonicity( P <0.01) of 5 main items of NBNA. There was great significant difference in EEG( P <0.01). Conclusions We should pay attention to the effect of pregnancy diabetes on neonates. NBNA and EEG could help us find out patients with mild brain damage earlier.This had great significance for bearing and rearing better children.

【关键词】 妊娠糖尿病; 新生儿; 神经行为;
【Key words】 Pregnancy diabetes; Neonate; Neurological behaviour;
  • 【文献出处】 中国儿童保健杂志 ,Chinese Journal of Child Heaith Care , 编辑部邮箱 ,2001年03期
  • 【分类号】R179
  • 【被引频次】4
  • 【下载频次】86
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