Analysis of evaluation method and investigation on neural development and nutrient management in preterm infants after discharge
LI Ting, ZHANG Yan-ping, HE Fang, KONG Xiang-yong, FENG Zhi-chun
1. Term Neonatal Intensive Care Unit, BaYi Children’s Hospital, The Seventh Medical Center, General Hospital of PLA, Beijing 100700, China; 2. Exremely Neonatal Intensive Care Unit, Bayi Children’s Hospital, The Seventh Medical Center, General Hospital of PLA, Beijing 100700 , China; 3. Health Management Clinic, BaYi Children’s Hospital, The Seventh Medical Center, General Hospital of PLA, Beijing 100700, China
Abstract: 【Abstract】 Objective To realize the usage of evaluation method on neural development and nutrient management in preterm infants after discharge. Methods A total of 13 typical hospitals were received questionnaire at pre-training and post-training, including 3 hospitals in the north of China, 2 hospitals in the east of China, 2 hospitals in the central of China, 2 hospitals in the southwest of China ,4 hospitals in the south of China. Those date were analyzed in the responsible department for nutrition management for premature infant after discharge, evaluation method of neural development, recommendation nutritional
supplements and blood screening of nutrition metabolism index, the rate of premature follow-up after
discharge, the rate of correct before and after the investigation. The statistical analysis was performed
by t test. Results 61.5% (8/13) of follow-up work of preterm infants after discharge was carried out by
child care department, newborn department in charge of that was 38.5% (5/13). Evaluation methods of
neural development were applied by Peabody motor development scale 15.4% (2/13), Gesell diagnosis
developmental scale 69.2% (9/13), Bayley scale 30.8% (4/13) during the follow-up for 13 hospitals.
Hemoglobin and mean corpuscular volume (MCV) were all detected on blood nutrition metabolic indices
in 13 hospitals. The percentage of detection in 25 - OH - VD, alkaline phosphatase, blood calcium and
blood phosphorus, urea nitrogen, prealbumin were 84.6% (11/13),76.9% (10/13), 69.2% (9/13), 46.2%
(6/13) respectively. The follow-up rate of most hospitals could reach more than 60% and the lowest of
that was 30%-40% in preterm infants after discharge. There was statistical significance on post-training
correct rate of answer, comparring with pre-training of that［(88±9) vs (80±15), t=36.846, P<0.05］. Conclusions Neonatal department and child care department should strengthen the cooperation to manage follow-up work of premature infants after discharge together. Evaluation method of neural development needs further unify. Blood screening of nutrition metabolism index should be performed reasonably in addition to evaluation physical development index in managmen of nutrition.
李婷 张艳平 何芳 孔祥永 封志纯. 早产儿出院后营养管理与神经系统发育评估方法调查分析[J]. 发育医学电子杂志, 2019, 7(2): 146-150.
LI Ting, ZHANG Yan-ping, HE Fang, KONG Xiang-yong, FENG Zhi-chun. Analysis of evaluation method and investigation on neural development and nutrient management in preterm infants after discharge. Journal of Developmental Medicine(Electronic Version), 2019, 7(2): 146-150.
2019, Vol. 7 
