关键词: 全身运动质量, 高危因素, 早产儿

Abstract: Objective To analyze the perinatal factors influencing the quality of general movements (GMs) in preterm infants with gestational age less than 34 weeks, in order to provide theoretical basis for clinical intervention. Methods Preterm infants with gestational age less than 34 weeks were collected, who were born inGansu Provincial Maternity and Child-Care Hospitalduring January 2017 to October 2019 and followed up in the Children's Health Care Department.There were 554 cases in stage of writhing movements and 318 cases in stage of fidget movements.The high-risk factors for the quality of GMs were analyzed by t test, χ² test and multivariate Logistic regression. Results Multivariate Logistic regression analysis showed that in the stage of writhing movements, the factors significantly associated with abnormal GMs results were low birth weight (OR=7.653, 95%CI:2.547 - 22.995), apnea (OR=2.556, 95%CI:1.254 - 5.209), congenital heart disease (OR=4.394,95%CI:1.507 - 12.809).In the stage of fidget movements, neonatal asphyxia (OR=3.802, 95%CI:1.338 - 10.806)and respiratory distress (OR=4.507,95%CI:1.563 - 12.998) were risk factors for abnormal GMs results. Conclusions Low birth weight, apnea, congenital heart disease, neonatal asphyxia, and respiratory distress are high-risk factors for abnormal GMs in preterm infants with gestational age less than 34 weeks.Early screening and intervention should be performed to preterm infants with high risk factors.

Key words: quality of general movements, high-risk factor, preterm infant