早产儿与足月儿第一周认知事件相关电位的比较研究

张琴芬,董选,李红新,吴薇,屠文娟

中国儿童保健杂志 ›› 2016, Vol. 24 ›› Issue (11) : 1190-1193.

PDF(555 KB)
PDF(555 KB)
中国儿童保健杂志 ›› 2016, Vol. 24 ›› Issue (11) : 1190-1193. DOI: 10.11852/zgetbjzz2016-24-11-21
·临床研究与分析·

早产儿与足月儿第一周认知事件相关电位的比较研究

  • 张琴芬,董选,李红新,吴薇,屠文娟
作者信息 +

A comparative event related potential study on cognitive of preterm and full-term infants in first week.

  • ZHANG Qin-fen,DONG Xuan,LI Hong-xin,WU Wei,TU Wen-juan.
Author information +
文章历史 +

摘要

目的 采用事件相关电位(ERP)对纠正胎龄1周早产儿与生后1周足月儿的认知进行比较研究,探索早产儿早期认知特征。方法 随机选择健康足月儿(1~7 d)30名、早产儿(纠正胎龄1~7 d)15名。采用听觉oddball范式,记录听觉事件相关电位(aERP),对两组进行Fz、Cz导联P2、N2波面积比较分析。结果 1)Fz导联,P2、N2波面积早产儿组均小于足月儿组,差异有统计学意义(t=2.133,P=0.039;t=2.230,P=0.031);2)Cz导联,P2、N2波面积早产儿组均小于足月儿组,差异有统计学意义(t=2.107,P=0.041;t=2.179,P=0.035)。结论 早产儿(纠正胎龄)第一周感知、识别声音等认知功能落后于同日龄足月儿。

Abstract

Objective To compare the cognitive of preterm infants (corrected gestational age) and full-term infants in first week with event related potential (ERP),and to explore the cognitive characteristics of preterm infants. Methods 30 healthy full-term infants (1~7 days) and 15 premature infants (corrected age of 1~7 days) were randomly selected.The auditory event related potential (aERP) was recorded with auditory oddball paradigm,and P2 and N2 wave area on the Fz,Cz lead of the two groups were compared. Results 1)Fz lead,there were significant differences of the P2 and N2 wave area between premature and in full-term infants (t=2.133,P=0.039;t=2.230,P=0.031);2)Cz lead,there were significant differences of the P2 and N2 wave area between premature and in full-term infants (t=2.107,P=0.041;t=2.179,P=0.035). Conclusion Cognitive functions such as voice perception and recognition of preterm infants (corrected gestational age) developed more solely than full-term infants of the same day age in the first week.

关键词

早产儿 / 足月儿 / 第一周 / 认知 / 事件相关电位

Key words

premature infants / full-term infants / the first week / cognitive / event related potential

引用本文

导出引用
张琴芬,董选,李红新,吴薇,屠文娟. 早产儿与足月儿第一周认知事件相关电位的比较研究[J]. 中国儿童保健杂志. 2016, 24(11): 1190-1193 https://doi.org/10.11852/zgetbjzz2016-24-11-21
ZHANG Qin-fen,DONG Xuan,LI Hong-xin,WU Wei,TU Wen-juan.. A comparative event related potential study on cognitive of preterm and full-term infants in first week.[J]. Chinese Journal of Child Health Care. 2016, 24(11): 1190-1193 https://doi.org/10.11852/zgetbjzz2016-24-11-21
中图分类号: R179   

参考文献

[1] Beck S,Wojdyla D,Say L,et al.The worldwide incidence of preterm birth:a systematic review of maternal mortality and morbidity[J].Bull World Health Organ,2010,88(1):31-38.
[2] 袁天明,俞惠民.重新认识早产儿脑损伤[J].中华围产医学,2014,17(5):289-292.
[3] 田新新,冉霓.早产儿低出生体重对神经发育远期预后影响研究进展[J].中国实用儿科杂志,2011,(26):154-156.
[4] Holst M,Eswaran H,Lowery C,et al.Development of auditory evoked fields in human fetuses and newborns:a longitudinal MEG study[J].Clin Neurophysiol,2005,116(8):1949-1955.
[5] 魏景汉,罗跃嘉.事件相关电位原理与技术[M].北京:科学出版社,2010:55.
[6] Kushnerenko EV,van den Bergh BR,Winkler I.Separating acoustic deviance from novelty during the first year of life:a review of event-related potential evidence[J].Front Psychol,2013,4:595.
[7] Chait M,de Cheveigné A,Poeppel D,et al.Neural dynamics of attending and ignoring in human auditory cortex[J].Neuropsychologia,2010,48(11):3262-3271.
[8] 史战,高鑫,周仁来.考试焦虑者选择性注意抑制困难的ERP证据[J].中国特殊教育,2014,11:73-81.
[9] Patel SH,AzzamPN.Characterization of N200 and P300:selected studies of the event-related potential[J].Int J Med Sci,2005,2(4):147-154.
[10] VanVeenV,CarterCS.The anterior cingulate as a conflict monitor:fMRI and ERP studies[J].Physiol Behav,2002,77(4-5):477-482.
[11] Bisiacchi PS,Mento G,Suppiej A.Cortical auditory processing in preterm newborns:an ERP study[J].Biol Psychol,2009,82(2):176-185.
[12] Wunderlich JL,Cone-Wesson BK,Shepherd R.Maturation of the cortical auditory evoked potential in infants and young children[J].Hear Res,2006,212(1-2):185-202.
[13] 张琴芬,董选,沈惠娟,陈琳,屠文娟.30例新生儿认知发展的事件相关电位研究[J].中华围产医学杂志,2015;18(11):848-851.
[14] Shafer VL,Yu YH,Wagner M.Maturation of cortical auditory evoked potentials (CAEPs) to speech recorded from frontocentral and temporal sites:three months to eight years of age[J].Int J Psychophysiol,2015,95(2):77-93.
[15] Suppiej A,Mento G,Zanardo V,et al.Auditory processing during sleep in preterm infants:An event related potential study[J].Early Hum Dev,2010,86(12):807-812.
[16] 潘映福.临床诱发电位[M].2版.北京:人民卫生出版社,2000:583-584.
[17] 孙国玉,侯新琳,周丛乐.早产儿生后脑追赶性发育及其电生理评价[J].中华围产医学杂志,2015;(17):307-311.
[18] Pea M,Pittaluga E,Farkas C.Phonological acquisition in preterm infants[J].Rev Neurol,2010,50(1):12-18.

基金

江苏省自然科学基金-面上项目(BK20161194);常州市科技支撑计划项目(CE20135045)

PDF(555 KB)

Accesses

Citation

Detail

段落导航
相关文章

/