足月小样儿行为神经发育评估及与血糖水平间关系的研究

Study of the relationship between neonatal behavioral neurological assessment and blood glucose level on small for date infants

【目的】评估足月小样儿神经行为发育情况,并探讨其神经行为发育与血糖间关系。【方法】采用新生儿行为神经测定(neonatal behavioral neurological assessment,NBNA)评分对61例足月小样儿和110例正常足月新生儿进行血糖测定和行为神经评分并进行比较。【结果】足月小样儿组NBNA总分及各项评分均低于正常对照组,足月小样儿组中低血糖者NBNA总分及各项评分均低于血糖正常者。【结论】应用NBNA测定可以及时准确的对其神经行为发育进行评估,低血糖是足月小样儿行为神经发育低下的一个重要因素。

[Objective] To assess the development of behavior of small for date infants and make clear the relationship between the development of behavior and hypoglycemia. [Method] 61 full term small for date（SFDs） and 110 full term appropriate for gestational age（AGAs） were taken up for comparative study of their behavior using neonatal behavioral neurological assessment（NBNA） and analysis of their blood sugar level. [Results] The study revealed that full term SFDs performed significantly poorly on all items under cluster interactive processes compared to their counterparts full term AGAs. All NABA scores decreased singnifacantly in hypoglycemia patients. [Conclusion] NBNA can be used to evaluate the development of behavior and hypoglycemia play an important role in the hypobehavior.