临床常用发育评估量表在窒息新生儿随访中的运用
| 作者: |
1马亚男,
1吕安平,
1方晓慧,
2张金萍
1 上海交通大学附属第六人民医院儿科，上海 200233 2 上海交通大学附属第六人民医院东院儿科，上海 201106 |
| 通讯: |
张金萍
Email: zhang-jin-ping@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.11.035 |
| 基金: | 上海市卫健委适宜技术课题(2019SY051)。 |
摘要
新生儿救治技术的提升有效地提高了窒息新生儿成活率，但随访发现该类患儿容易出现神经、运动等方面发育不良。精确、及时地发现这些窒息患儿合并发育迟缓的迹象，并早期进行干预治疗，从而减少病残率，需要借助不同的评估工具。目前评估工具有很多种，有针对性为该类患儿选择合适的评估量表极其重要。本文就国内外目前常用的可用于评估、随访窒息新生儿生长发育的几个量表进行综述，分析他们在评估窒息新生儿生长发育中的用途、效度和信度、优缺点及改进的意见，希望有助于临床医生根据不同需要选择正确的评估工具。
关键词：
儿童；发育；新生儿窒息；评估量表
Application of commonly used clinical development assessment scale in the follow-up of asphyxiated neonates
CorrespondingAuthor: ZHANG Jinping Email: zhang-jin-ping@163.com
DOI: 10.3978/j.issn.2095-6959.2021.11.035
Foundation: This work was supported by the Suitable Technical Subject of Shanghai Municipal Health Commission, China (2019SY051).
Abstract
With the improvement of neonatal treatment technology, the survival rate of neonatal asphyxia has been effectively improved. However, the follow-up shows that children who had asphyxia are prone to dysplasia complicated with neurological and motor. Different assessment tools are needed to accurately and timely find the signs of stunting in these asphyxiated children, and carry out early intervention treatment, so as to reduce the disability rate. At present, there are many assessment tools, and it is extremely important to select the appropriate assessment scale for these patients. In this paper, several scales commonly used at home and abroad to evaluate and follow up the growth and development of asphyxiated newborns are reviewed, and their uses, validity and reliability, advantages and disadvantages, and suggestions for improvement are analyzed, hoping to help clinicians choose the correct assessment tools according to different needs.
Keywords：
children; development; neonatal asphyxia; assessment scales