越秀区新生儿20项行为神经测定应用研究

目的：探讨孕母患妊娠期糖代谢异常对早期新生儿20项行为神经的影响,以研究改善其预后。方法：对越秀区妇幼保健院住院分娩的正常儿（对照组）,妊娠期糖尿病儿（A组）,妊娠期糖耐量受损儿（B组）的病例资料进行对照研究。结果：A,B两组患儿的新生儿20项行为神经测定方法（NBNA）总分异常率明显高于对照组（P〈0.05）。A,B两组的异常率比较差异无统计学意义（P〉0.05）。NBNA五大项目评分中,A,B两组的主动肌张力,一般评估与对照组比较差异有统计学意义（P〈0.05）。结论：早期检查新生儿20项行为神经,对妊娠期糖代谢异常高危儿减轻脑损伤,改善其预后/促进小儿健康成长非常必要。

Analysis of behavioral neurological assessment of neonates in Yuexiu District

Objective：To investigate the effect of mothers with abnormal glucose metabolism on early 20 items neonatal behavioral neurological assessment,in order to improve their prognosis.Methods：The neonates delivered in Maternal and Child Care Hospital in Yuexiu District were classified into three groups：normal children（control group）,children of mothers with gestational diabetes（A group）,children of mothers with gestational impaired glucose tolerance（B group）.Results：Significant statistic of neonatal beavioral neurological assessment（NBNA） total score was found between A,B group and control group（P〈0.05）.The difference lay on the muscle tone and general assessment of the neonates,while no significant statistic was found between A group and B group.Conclusion：To exam the 20 items behavioral neuron early is helpful to mitigate the cerebral injury of the high-risk neonates of mothers with abnormal gestational glucose metabolism,which is essential to improve the prognosis and promote the healthy growth of children as well.