建立早产儿脑损伤的随访与早期干预体系

随着早产儿存活率的提高,尤其是早早产儿存活增多,早产儿相关神经系统后遗症越来越受到关注和重视。除脑性瘫痪外,伴随发育过程,早产儿有较高的学习、社会交往等神经心理行为障碍,甚至成年期的生活质量也受到影响。有关早产儿脑损伤及神经系统后遗症的发生机制,如何对早产儿进行随访、怎样进行早期干预,是目前医学研究的热点和难题。本专题对早产儿脑损伤及其远期神经后遗症的发生机制、评价手段、早期干预方法等相关问题进行了探讨,以期为早产儿脑损伤的随访与早期干预体系的正确合理建立奠定基础。

Developing Early Intervention and Follow-up System for Premature Infants of Brain Iinjury

As the increasing trend of survival rate for premature birth, especially in early preterm infants, it calls more and more attention to neurologic sequelae of premature birth. Besides cerebral palsy, there are high incidences of neuropsychological disorders in premature infants, such as learning and social communication problems, which sometimes remain a challenge for the quality of life even in their adulthood.In order to solve these difficult situation and problems, more and more medical research and clinical efforts have being focused on the mechanism of brain injury, neurological sequelae of premature birth, early intervention and follow-up for premature. Hereby we are discussing our works for brain injury in preterm the mechanism of neurological sequelae, assessment methods and early intervention, to provide rationale for the establishment of early intervention and follow-up system for premature infants with brain injury.