高危儿神经系统发育的评估：236例报道

doi:10.3969/j.issn.1006-9771.2019.06.017

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (6): 714-717.doi: 10.3969/j.issn.1006-9771.2019.06.017

高危儿神经系统发育的评估：236例报道

吕攀攀^1a, 高文婷^1a, 赵娜^2b, 刘芳^1a, 徐冲锋^1a, 邓玉琴^1a

1.滨州医学院附属医院;a儿童保健科;b产科,山东滨州市256603

收稿日期:2018-08-09 修回日期:2018-10-29 发布日期:2019-06-25
通讯作者: 吕攀攀，E-mail: lvpanpan163@163.com
作者简介:吕攀攀(1985-)，女，汉族，山东淄博市人，硕士，医师，主要研究方向：高危儿筛查及早期干预。
基金资助:
滨州市科技发展计划项目(No. 2014ZC0155)

Assessment of Nervous System of High-risk Infants: 236 Cases Report

LÜ Pan-pan^1a, GAO Wen-ting^1a, ZHAO Na^2b, LIU Fang^1a, XU Chong-feng^1a, DENG Yu-qin^1a

1.a.Department of Primary Child Care, b. Department of Obstetrics, the Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong 256603, China;

Received:2018-08-09 Revised:2018-10-29 Online:2019-06-25
Contact: Lü Pan-pan, E-mail: lvpanpan163@163.com
Supported by:
Binzhou Scientific and Technologic Development Programme (No. 2014ZC0155)

摘要/Abstract

摘要： 目的探索在高危儿神经系统发育结局预测中，神经系统评估方法的选择。方法 2015年3月至2016年3月，本院新生儿科和产科出院的高危新生儿336例，采用全身运动(GMs)质量评估、0~1岁神经运动20项检查和Gesell发育量表进行评估。结果共236例完成随访。GMs扭转运动阶段，正常者203例，异常者33例；不安运动阶段，正常者218例，异常者18例；0~1岁神经运动20项检查，正常者202例，异常者34例；Gesell发育量表，异常者12例。结论 GMs质量评估、0~1岁神经运动20项检查和Gesell发育量表三种方法相结合能够更加完善地早期或超早期综合预测高危儿神经系统发育情况。

关键词: 高危儿, 全身运动质量评估, 0~1岁神经运动20项检查, Gesell发育量表, 神经系统发育

Abstract: Objective To investigate evaluation methods to predict the outcome of nervous system development in high-risk infants.Methods From March, 2015 to March, 2016, 336 high-risk infants were enrolled. They were assessed by General Movements (GMs) Quality Assessment, 0~1 Years Old 20 Items Neuromotor Assessment and Gesell Developmental Schedules.Results A total of 236 infants finishied the study. GMs Quality Assessment showed that 203 cases were normal and 33 cases were abnormal in the writhing movements stage; 218 cases were normal and 18 cases were abnormal in the fidgety movemonts stage. 0~1 Years Old 20 Items Neuromotor Assessment showed that 202 cases were normal and 34 cases were abnormal. Gesell Developmental Schedules showed that 12 cases were abnormal.Conclusion The combination of GMs Quality Assessment, 0~1 Years Old 20 Items Neuromotor Assessment and Gesell Developmental Schedules could better predict the nervous system development of high-risk infants.

Key words: high-risk infants, General Movements Quality Assessment, 0~1 Years Old 20 Items Neuromotor Assessment, Gesell Developmental Schedules, nervous system development

中图分类号:

R179

吕攀攀, 高文婷, 赵娜, 刘芳, 徐冲锋, 邓玉琴. 高危儿神经系统发育的评估：236例报道[J]. 《中国康复理论与实践》, 2019, 25(6): 714-717.

LÜ Pan-pan, GAO Wen-ting, ZHAO Na, LIU Fang, XU Chong-feng, DENG Yu-qin. Assessment of Nervous System of High-risk Infants: 236 Cases Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(6): 714-717.

参考文献

1 鲍秀兰. 重视高危儿的发育风险和早期科学干预对策[J]. 中国儿童保健杂志, 2011, 19(5): 393-394, 397.
2 O'SheaT M, AllredE N, KubanK C, et al. Intraventricular hemorrhage and developmental outcomes at 24 months of age in extremely preterm infants [J]. J Child Neurol, 2012, 27(1): 22-29.
3 徐开寿,麦坚凝,何璐,等. 不同出生体重脑瘫高危儿婴儿期粗大与精细运动技能发育特征及其相关性研究[J]. 中国康复医学杂志, 2009, 24(7): 604-606.
4 HildermanC G, HarrisS R. Early intervention post-hospital discharge for infants born preterm [J]. Phys Ther, 2014, 94(9): 1211-1219.
5 甘明霞,林伟泽. 脑瘫高危儿早期干预治疗的临床效果分析[J]. 中外医学研究, 2018, 16(3): 14-15.
6 HintzS R, HessR L. Defining outcomes for high-risk infants: Problems and possibilities [J]. Semin Perinatol, 2016, 40(8): 495-496.
7 BenferK A, NovakI, MorganC, et al. Community-based parent-delivered early detection and intervention programme for infants at high risk of cerebral palsy in a low-resource country (Learning through Everyday Activities with Parents (LEAP-CP): protocol for a randomised controlled trial [J]. BMJ Open, 2018, 8(6): e021186.
8 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依据和临床分度[J]. 中国实用儿科杂志, 2000, 15(6): 379-380.
9 KanemaruN, WatanabeH, KiharaH, et al. Jerky spontaneous movements at term age in preterm infants who later developed cerebral palsy [J]. Early Hum Dev, 2014, 90(8): 387-392.
10 林星谷,林小苗,邹林霞,等. 全身运动质量评估预测不同孕周早产高危儿神经发育结局的效度比较[J]. 中国康复理论与实践, 2015, 21(6): 683-688.
11 WaldmeierS, GruntS, Delgado-EckertE, et al. Correlation properties of spontaneous motor activity in healthy infants: a new computer-assisted method to evaluate neurological maturation [J]. Exp Brain Res, 2013, 227(4): 433-446.
12 吴卫红,鲍秀兰,席冰玉,等. 0~1岁52项神经运动检查和简化20项相关性研究[J]. 中国儿童保健杂志, 2014, 22(3): 310-312.
13 StockS J, BrickerL, NormanJ E, et al. Immediate versus deferred delivery of the preterm baby with suspected fetal compromise for improving outcomes [J]. Cochrane Database Syst Rev, 2016, 7: CD008968.
14 胡小娟. 小儿脑瘫诊疗进展[J]. 广州医药, 2009, 40(6): 60-62.
15 BlasiA, Lloyd-FoxS, SethnaV, et al. Atypical processing of voice sounds in infants at risk for autism spectrum disorder [J]. Cortex, 2015, 71: 122-133.
16 HoftiezerL, HukkelhovenC W, HogeveenM, et al. Defining small-for-gestational-age: prescriptive versus descriptive birthweight standards [J]. Eur J Pediatr, 2016, 175(8): 1047-1057.
17 BarlowJ, BennettC, MidgleyN, et al. Parent-infant psychotherapy for improving parental and infant mental health [J]. Cochrane Database Syst Rev, 2015, 1: CD010534. doi: 10.1002/14651858.CD010534.pub2.
18 GaoX Y, FengL, XuJ, et al. [Follow-up observation of catch-up growth of preterm infants after discharge and risk factors for extrauterine growth retardation] [J]. [in Chinese]. Zhongguo Dang Dai Er Ke Za Zhi, 2018, 20(6): 438-443.
19 WangH, LiH, WangJ, et al. Reliability and concurrent validity of a Chinese version of the Alberta Infant Motor Scale administered to high-risk infants in China [J]. Biomed Res Int, 2018, 2018: 2197163.
20 MarcroftC, KhanA, EmbletonN D, et al. Movement recognition technology as a method of assessing spontaneous general movements in high risk infants [J]. Front Neurol, 2014, 5: 284.
21 陈文霞. 婴幼儿发育商评分在高危儿随访中的应用研究[J]. 中国妇幼保健, 2017, 32(22): 5645-5647.
22 鲍克秀,王雨晴,杨忠秀. 全身运动质量评估与神经运动检查法评估康复科患儿早期中枢神经系统发育情况的价值比较[J]. 中国医药导报, 2014, 11(13): 151-153.
23 袁柳芬,张国华,陈春碧. 综合干预对运动发育迟缓患儿病情及家长心理健康的影响[J]. 中国妇幼保健, 2017, 32(7): 1468-1470.
24 赵青,周光辉. 早期干预对早产儿预后的影响[J]. 中国康复理论与实践, 2003, 9(5): 273-274.
25 FerdynusC, QuantinC, AbrahamowiczM, et al. Comparison of the ability of alternative birthweight and fetal weight standards to identify preterm newborns at increased risk of perinatal death [J]. BJOG, 2013, 120(12): 1456-1464.

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[12]	吴春燕a;彭晓晖b;刘晓阳a;黄慧桃a;任尚伸a;李晶a . 早期干预在围产期脑损伤神经行为发育中的价值 [J]. 《中国康复理论与实践》, 2008, 14(01): 65-66.
[13]	胡继红;王跑球;张惠佳;周洪涛;王益梅 . 363例脑瘫患儿Gesell发育量表测试结果分析 [J]. 《中国康复理论与实践》, 2007, 13(12): 1108-1109.

高危儿神经系统发育的评估：236例报道

Assessment of Nervous System of High-risk Infants: 236 Cases Report

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