极低出生体重儿神经发育结局及其影响因素分析

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目的分析营养因素对于低出生体重儿是否影响其自身的神经发育。方法本次研究,选择2010年1月~2013年1月出生在本院的极低出生体重儿62例,搜集其资料,对他们回顾性分析。将其按照营养补给的质量高低分两组,其中营养补给好的一组是在医护人员的指导下,严格按照合理充足的供给的,另一组则是和正常儿童供给方式无异。比较两组新生儿在一年时间后神经系统发育的情况,分析营养因素在是否发挥作用。结果两组新生儿在大运动的评分上比较,营养好者组内评分高于另一组,t=2.9704,P<0.05;精细动作方面比较,t=4.4112,P<0.05;语言方面,t=4.6027,P<0.05;社交行为方面,t=2.6139,P<0.05,即在此四个方面,两组的差异有统计学意义。二者的适应能力比较,t=1.6013,P<0.05,即二者在适应能力上的差异无统计学意义。总体来看,两组DQ比较,t=3.9367,P<0.05,即两组新生儿代表神经发育的指标,即发育商的差异统计学有意义。结论对于极低出生体重儿,如果及早的给予合理充足的营养,可以改善其神经发育状况,对其意义重大,可以提高其生活质量。 Objective To analyze whether nutritional factors affect their own neurodevelopment for low birth weight infants. Methods In this study, 62 children with very low birth weight who were born in our hospital from January 2010 to January 2013 were selected and their data were collected for retrospective analysis. In accordance with the quality of nutritional supplements divided into two groups, of which a good group of nutritional supplements is under the guidance of health care workers, in strict accordance with a reasonable and adequate supply of the other group is the same as the normal supply of children. Nervous system development in two groups of newborns after one year was compared to analyze whether nutritional factors play a role. Results Compared with the scores of the grandchildren in the two groups, the score of the nourished group was higher than that of the other group (t = 2.9704, P <0.05), t = 4.4112 (P <0.05) = 4.6027, P <0.05; social behavior, t = 2.6139, P <0.05, that is, in these four aspects, the difference between the two groups was statistically significant. The adaptability of the two, t = 1.6013, P <0.05, that is, there was no significant difference in adaptability between the two. Overall, the two groups of DQ, t = 3.9367, P <0.05, that the two groups of neonatal neurodevelopment indicators, namely, the development of business statistics statistically significant. Conclusions For very low birth weight infants, improving the quality of their neurological development may be important if they are given adequate and adequate nutrition early enough to improve their quality of life.
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