胎儿宫内窘迫对新生儿神经行为的影响

目的：测定宫内窘迫的新生儿神经行为，以探讨宫内窘迫与新生儿神经行为表现、预后的关系。方法：用ＮＢＮＡ神经行为２０项指标进行测定。结果：宫内窘迫新生儿６０例与正常新生儿６０例比较，测定总分之间差异有显著性（Ｐ＜０．０１）。窘迫组中４１例无窒息者与正常对照差异有显著性（Ｐ＜０．０１），窘迫组中１９例有窒息者与正常对照组差异更为显著，急性窘迫３８例与慢性窘迫２２例之间也有显著差异（Ｐ＜０．００１）。结论：胎儿宫内窘迫影响新生儿的神经行为能力。

Influence of fetal distress on neonatal dehavior neurological assessment.

Objective To determinate the neonatal behavior neurological assessment (NBNA) of newborns with fetal distress and to research the relationship between fetal distress and neonatal neurological behavior. Methods 20 indices of NBNA were determinated. Results The total scoring of 50 infants with fetal distress was much significantly different from that of 56 normal infants( P <0.01).In the distress group, there were 31 cases without asphyxia whose scoring was significantly different from that of the normal group( P <0.01),whereas the scoring of other 19 cases with asphyxia was even lower than that of the normal group( P <0.001).The scoring of 28 cases with acute fetal distress was still significantly different from that of 22 chronic ones( P <0.01) Conclusion Fetal distress could affect neonatal behavior capacity of the newborns.