《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (7): 605-607.

• 论文 • 上一篇    下一篇

早产儿早期两种神经系统评估方法的比较

席冰玉1，吴卫红1，2，邹丽萍3，易京梅3   

  1. 1.首都医科大学康复医学院，北京市 100068；2.中国康复研究中心北京博爱医院儿童康复科，北京市 100068；3.中国人民解放军总医院儿科，北京市 100853。
  • 收稿日期:2010-05-10 修回日期:2010-07-12 出版日期:2010-07-25 发布日期:2010-07-25
  • 通讯作者: 吴卫红

Agreement between Two Kinds of Neurological Assessment in Preterm Infants during Early Infantile Period

XI Bing-yu, WU Wei-hong, ZOU Li-ping, et al.   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2010-05-10 Revised:2010-07-12 Published:2010-07-25 Online:2010-07-25

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摘要： 目的研究全身运动质量评估（GMs）和0～1岁52项神经运动检查法在评估早产儿发育早期中枢神经系统发育异常情况方面的一致性。方法早产儿和早产并发脑损伤高危因素的婴儿共16例在出生后3个月内分别应用两种方法进行评估。结果使用GMs进行评估，11例正常，4例为单调性全身运动，1例为痉挛-同步性全身运动。应用0～1岁52项神经运动检查法进行评估，12例正常，4例为中度缺陷。两种方法的Kappa值=0.709。结论GMs和0～1岁52项神经运动检查法在评估高危早产儿中枢神经系统发育的异常情况方面有着良好的一致性。

关键词: 全身运动质量评估, 0～1岁52项神经运动检查方法, 早产儿, 评定, 一致性

Abstract: ObjectiveTo study the agreement of the two kinds of assessment for neurological development, the Qualitative Assessment of General Movements (GMs) and the 52 Items Neurological Assessment from Birth to 1 Year, in preterm infants during the early infantile period. Methods16 preterm infants with or without risk factors for brain injury were assessed with GMs and the 52 Items Neurological Assessment from Birth to 1 Year within 3 months after birth. ResultsFor the GMs, 11 infants were assessed as normal, 4 as poor repertoire (PR) and 1 as cramped synchronized (CS). For the 52 Items Neurological Assessment from Birth to 1 Year, 12 infants were normal, 4 were moderate abnormal. Kappa=0.709.ConclusionThe result of GMs agrees with that of 52 Items Neurological Assessment from Birth to 1 Year for preterm infants during the early infantile period.

Key words: Qualitative Assessment of General Movements, 52 Items Neurological Assessment from Birth to 1 Year, preterm infants, assessment, agreement