超低體重兒與足月適重兒之早期神經行為發展之比較

A Comparison between Extremely Low-Birthweight Infants and Normal Full-term Infants in Early Neurobehavioral Development

黃靄雯(Ae-Wen Hwang) ； 鄭素芳(Suh-Fang Jeng) ； 滕儒錚(Ru-Jeng Teng) ； 鄒國英(Kuo-Inn Tsou Yau) ； 王本榮(Pen-Jung Wang) ； 廖華芳(Hua-Fang Liao) ； 楊千立(Chain-Llie Young)

《中華民國物理治療學會雜誌》 22卷3期 (1997/07) Pp. 175-182

https://doi.org/10.29616/JPTAROC.199707.0003

摘要

With the improvement in the survival rate of extremely low-birthweight infants in Taiwan, the medical care of these infants has now gradually focused on early developmental evaluation and management. However, only few studies had been undertaken to examine the early neuromotor performance of extremely low-birthweight infants in Taiwan. Therefore, the purpose of this study was to investigate the neuromotor performance of extremely low-birthweight infants at term post-conceptional age compared with that of normal term infants. Eighteen extremely low-birthweight infants and 18 sex-matched normal term infants who were born at the National Taiwan University Hospital were enrolled. They were examined using the Neonatal Neurobehavioral Examination-Chinese Version (NNE-C) when approaching term post-conceptional age of 40 weeks. The examination consists of three sections: tone and motor pattern, primitive reflexes, and behavioral responses. The results showed that the total scores of the extremely low-birthweight infants (65.8±5.9) were significantly lower than those of the normal term infants (73.5±2.8) (p＜0.05). With respect to item scores, the extremely low-birthweight infants showed significantly lower scores than the normal term infants in the ankle dorsiflexion, slip-through, prone suspension, grasp and tremor items. Our results indicate that the neurobehavioral performance of extremely low-birthweight infants is different from that of normal term infants at term post-conceptional age. The NNE-C Scale is valid in discriminating the neurobehavioral performance between extremely low-birth- weight infants and normal term infants.

關鍵字

早產兒 ； 神經動作評估 ； 辨識效度

並列摘要

With the improvement in the survival rate of extremely low-birthweight infants in Taiwan, the medical care of these infants has now gradually focused on early developmental evaluation and management. However, only few studies had been undertaken to examine the early neuromotor performance of extremely low-birthweight infants in Taiwan. Therefore, the purpose of this study was to investigate the neuromotor performance of extremely low-birthweight infants at term post-conceptional age compared with that of normal term infants. Eighteen extremely low-birthweight infants and 18 sex-matched normal term infants who were born at the National Taiwan University Hospital were enrolled. They were examined using the Neonatal Neurobehavioral Examination-Chinese Version (NNE-C) when approaching term post-conceptional age of 40 weeks. The examination consists of three sections: tone and motor pattern, primitive reflexes, and behavioral responses. The results showed that the total scores of the extremely low-birthweight infants (65.8±5.9) were significantly lower than those of the normal term infants (73.5±2.8) (p＜0.05). With respect to item scores, the extremely low-birthweight infants showed significantly lower scores than the normal term infants in the ankle dorsiflexion, slip-through, prone suspension, grasp and tremor items. Our results indicate that the neurobehavioral performance of extremely low-birthweight infants is different from that of normal term infants at term post-conceptional age. The NNE-C Scale is valid in discriminating the neurobehavioral performance between extremely low-birth- weight infants and normal term infants.

並列關鍵字

Prematurity ； Neuromotor assessment ； Discriminative validity