Why, when and how to assess autonomic nervous system maturation in neonatal care units: A practical overview

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY Neurophysiologie Clinique/Clinical Neurophysiology Pub Date : 2023-04-01 DOI:10.1016/j.neucli.2023.102855

Hugues Patural , Vincent Pichot , Frédéric Roche , Antoine Giraud

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引用次数: 3

Abstract

The evaluation of the autonomic reactivity of newborns by heart rate variability (HRV) analysis is a simple and essential aid to identifying pathological situations of dysautonomia. Thanks to this relatively simple and reproducible analytic tool, the pediatrician can identify and target children at high risk of life-threatening events, i.e., those with insufficient intrinsic capacity for cardiorespiratory self-regulation, who should benefit from close cardiorespiratory monitoring. Different mathematical algorithms integrate delayed or real-time variations in the length of the RR interval to better understand the state of autonomic maturation of the newborn. HRV analysis, as a non-invasive tool for assessing autonomic balance, is essential to assess the functioning of the autonomic nervous system and, more specifically, parasympathetic/sympathetic balance. Despite many recognized diagnostic and therapeutic implications, its application to neonatal medicine is not yet well understood.

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为什么、何时以及如何评估新生儿监护室自主神经系统的成熟度：实践综述

通过心率变异性（HRV）分析评估新生儿自主神经反应性是识别自主神经功能障碍病理情况的简单而重要的帮助。得益于这种相对简单且可重复的分析工具，儿科医生可以识别并针对高危危及生命事件的儿童，即那些心肺自我调节能力不足的儿童，他们应该从密切的心肺监测中受益。不同的数学算法整合RR间期长度的延迟或实时变化，以更好地了解新生儿的自主成熟状态。HRV分析作为一种评估自主神经平衡的非侵入性工具，对评估自主神经系统的功能至关重要，更具体地说，对评估副交感神经/交感神经平衡至关重要。尽管有许多公认的诊断和治疗意义，但它在新生儿医学中的应用尚不清楚。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurophysiologie Clinique/Clinical Neurophysiology 医学-临床神经学

CiteScore

5.20

自引率

3.30%

发文量

审稿时长

60 days

期刊介绍： Neurophysiologie Clinique / Clinical Neurophysiology (NCCN) is the official organ of the French Society of Clinical Neurophysiology (SNCLF). This journal is published 6 times a year, and is aimed at an international readership, with articles written in English. These can take the form of original research papers, comprehensive review articles, viewpoints, short communications, technical notes, editorials or letters to the Editor. The theme is the neurophysiological investigation of central or peripheral nervous system or muscle in healthy humans or patients. The journal focuses on key areas of clinical neurophysiology: electro- or magneto-encephalography, evoked potentials of all modalities, electroneuromyography, sleep, pain, posture, balance, motor control, autonomic nervous system, cognition, invasive and non-invasive neuromodulation, signal processing, bio-engineering, functional imaging.