婴儿早期脑损伤后神经学评估与后遗症风险研究进展

Study on the Neurological Assessment in Predicting Neurodevelopmental Outcomes in Infants With Early Neurological Disorders

婴儿早期脑损伤,特别是合并新生儿缺氧缺血所致脑损伤及颅内出血时,可致严重神经系统后遗症,如脑性瘫痪、精神发育迟滞等。对婴儿早期脑损伤的早期诊断,可早期预测神经系统后遗症的发生,有利于患儿的早期康复干预,改善预后。本文针对目前国际常用的神经学评估方法(Dubowitz神经系统评分、Amiel-Tison神经学评估、新生儿20项行为神经评定、全身运动质量评估、Vojta姿势反射、其他反射)与婴儿早期脑损伤后遗风险的研究进展进行综述如下。

Infant early neurological disorders, including hypoxia-ischemic and intracranial hemorrhage, may cause adverse neurodevelopmental outcomes such as cerebral palsy（CP）. Earlier diagnosis is very important for the treatment of neonatal neurological disorders. We focus on neurological assessments, including Duhowitz neurological assessment, Amiel-Tison neurological assessment, neonatal behaviral neurological assessment, general movements, Vojta statotonic reflex, and other reflexes, in predicting neurodevelopmental outcomes in infants with early neurological disorders.