摘要目的 探讨新生儿神经行为能力及其相关围产期影响因素.方法 应用鲍秀兰等建立的新生儿神经行为评定法(neonatal behavioral neurological assessment,NBNA)对298例足月儿进行新生儿神经行为能力评定,使用自编的“基本资料调查问卷”收集新生儿及其家庭资料.以NBNA总分为因变量,19项围产期影响因素为自变量,采用Logistic回归分析筛选影响因素.结果 新生儿NBNA评分的合格率为99.33％,孕周及孕期情绪为新生儿NBNA得分的有利因素,偏回归系数分别为-0.41和-0.33,而孕妇年龄则为新生儿NBNA得分的不利因素.结论 孕周长和孕期情绪好可促进新生儿神经行为发育,而孕妇年龄大则对其神经行为发育造成影响.

abstractsObjective To investigate the neonatal neurobehavioral ability and the associated perinatal factors.Methods 298 neonatal term infants were assessed by neonatal behavioral neurological assessment(NBNA) which was established by Bao Xiulan.The information of the neonatal babies and their family was investigated by the self-made "basic information questionnaire".Logistic regression analysis was used to screen the influencing factors with NBNA scores as dependent variable and 19 perinatal factors as independent variables.Results:99.33％ neonates got through NBNA.Gestational weeks and emotion during pregnancy were positive factors whose partial regression coefficients were-0.41 and-0.33.The ages of pregnant women was negative factors in neonates' NBNA.Conclusions More gestational weeks and better mood during pregnancy can promote and higher ages of the pregnant women can negatively influence the development of neonatal neurobehavior.