Effect of neonatal hypoxic-ischemic encephalopathy on infant neurobehavioral development

ZHAO Xue-ni, ZHAO Pu, WU Dan-hong, LI Peng-cheng, YUAN Xun-ling, WANG Xiu-juan, SUN Lu

Chinese Journal of Child Health Care ›› 2011, Vol. 19 ›› Issue (9) : 830-832.

Chinese Journal of Child Health Care ›› 2011, Vol. 19 ›› Issue (9) : 830-832.

Effect of neonatal hypoxic-ischemic encephalopathy on infant neurobehavioral development

  • ZHAO Xue-ni, ZHAO Pu, WU Dan-hong, LI Peng-cheng, YUAN Xun-ling, WANG Xiu-juan, SUN Lu
Author information +
History +

Abstract

【Objective】 To explore the neurobehavioral development condition of infants with mild or moderate neonatal hypoxic-ischemic encephalopathy(HIE) during early period of standard treatments. To provide the theory evidence for evaluation and study of infant neurobehavioral development with HIE. 【Methods】 Mild and moderate HIE infants were assigned into two groups based on GM1 treatment. Normal infants born in the same period at the Heilongjiang Hospital were used as control group. One-year regular visiting study was launched and infants from all three groups were assessed using Gesell table at 3 months, 6 months, and 12 months old. 【Results】 1)At 3 months old, all developmental quotient (DQ) of the five items from group 1 and group 2 were lower than control group (normal infants) and there was very significant difference (P<0.001). 2) At 6 months old, there was no significant difference between group 1 (mild HIE infants) and control group (P>0.05) while significant difference exited between group 2 and control group (P<0.05). 3)At 12 months old, there was still significant difference between group 2 and control group with respect of fine movements and adaptive behavior(P<0.05). 【Conclusions】 Mild and moderate hypoxic-ischemic encephalopathy may have a more slow neurobehavioral development than normal infants. As they grow up, intelligence and behavior will be gradually improved, such as coarse movement, language level and social communication. Moderate hypoxic-ischemic encephalopathy may have a slow improvement in fine movement and adaptive behavior. In future work, more attentions will be paid on interventions like fine movement and adaptive behavior.

Key words

hypoxic-ischemic encephalopathy / neuropsychological development / developmental quotient

Cite this article

Download Citations
ZHAO Xue-ni, ZHAO Pu, WU Dan-hong, LI Peng-cheng, YUAN Xun-ling, WANG Xiu-juan, SUN Lu. Effect of neonatal hypoxic-ischemic encephalopathy on infant neurobehavioral development[J]. Chinese Journal of Child Health Care. 2011, 19(9): 830-832

References

[1] 新生儿缺氧性脑病治疗协作组.新生儿缺氧缺血性脑病第二次多中心治疗总结[J].中国实用儿科杂志,2003,18(9):558-560.
[2] 中华医学会儿科学会新生儿学组.新生儿缺氧缺血性脑病诊断标准[J].中华儿科杂志,2005,43 (8):584-585.
[3] Avrova NF, Zakharova IO,Tyurin VA, et al. Different metabolic effects of ganglioside GM1 in brain synaptosomes and phagocytic cells[J]. Neurochem Res,2002,27(7-8):751-759.
[4] 张桂林,傅万海.神经节苷脂治疗新生大鼠缺血缺氧性脑损伤的研究[J].中国当代儿科杂志,2001,3(5):522-524.
[5] 胡伟,赵聪敏,黄绍平.神经节苷脂对新生鼠缺氧缺血性脑损伤的保护作用[J].中国儿童保健杂志,2005,13 (2):131-133.
[6] Hoi JS, Kim JA, Joo CK. Activation of MAPK and CREB by GMl Induces survival of RGCs in the retina with axotomized nerve[J]. Invest Ophthalmol Vis Sci,2003,44(4):1747-1752.
[7] 郭慧,屈艺,毛萌.GM1在缺氧缺血性脑病中的神经保护作用[J].生命化学,2009,29(1):99-101.
[8] Carli G, Reiger I, Evans N. One-year neurodevelopmental outcome after moderate newborn hypoxic ischaemic encephalopathy[J]. J Paediatr Child Health,2004,40(4):217-220.
[9] 周丛乐,姜毅,冯琪,等.围产期缺氧性脑损伤患儿神经系统后遗症的早期预测探讨[J].中华儿科杂志,2003,38(5):302-305.
[10] 曾林.神经节苷脂治疗新生儿缺氧缺血性脑病疗效观察[J].中国实用神经疾病杂志,2009,12(3):84-85.

Accesses

Citation

Detail

Sections
Recommended

/