目的 应用《0~1岁神经运动20项检查》和《0～1岁52项神经运动检查》, 对高危儿进行早期筛查脑瘫效果一致性的研究。方法 将脑瘫高危新生儿中诊断为脑瘫的295例作为研究对象, 在其3、6、9月及12月时用两种方法的检查结果, 用Kappa方法进行一致性检验。结果 两种方法的一致性检验Kappa=0.796, P=0.000, 有高度统计学意义。结论 两种检查方法在脑瘫患儿早期评估中枢神经系统发育的异常情况具有良好的一致性。因此, 可以用《0~1岁神经运动20项检查》代替《0～1岁52项神经运动检查》, 作为早期发现婴儿脑瘫发育异常的筛查方法。
Abstract
Objectives To research the consistency of the 20 items neuromotor assessment and the 52 items neuromotor assessment from birth to 1 year old of high-risk infants, the screening effect of cerebral palsy were applied during the early period. Methods A total of 295 children who were diagnosed as cerebral palsy were chosen, and all of them were high-risk neonates.During their 3 months old agreement was qualified via Kappa values. Results The value of Kappa of the consistency check for two Methods was 0.796, P=0, 000, and it had a significant difference. Conclusions In discovering the abnormal condition of the cerebral palsy children's neurological system during the first year of period, the consistency of the 20 items neuromotor assessment from birth to 1 year old and the 52 items neuromotor assessment from birth to 1 year old is excellent.Therefore, the 20 items neuromotor assessment from birth to 1 year old can replace the 52 items neuromotor assessment from birth to 1 year old.
关键词
脑瘫 /
高危儿 /
神经运动检查
Key words
cerebral palsy /
high-risk infants /
neuromotor examination
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 鲍秀兰, 王丹华, 孙淑英, 等.早期干预降低早产儿脑瘫发生率的研究[J].中国儿童保健杂志, 2005, 13(4):381-384.
[2] Rauh VA, Achenbach TM, Nurcombe B, et al.Minimizing adverse effects of low birthweight:four-year results of an early intervention program[J].Child Dev, 1988, 59(3):544-553.
[3] Achenbach TM, Phares V, Howell CT, et al.Seven-year outcome of the vermont intervention program for low-birthweight infants[J].Chlild Dev, 1990, 61(6):1672-1681.
[4] Resnick MB, Eyler FD, Nelson RM, et al.Developmental intervention for low birth weight infants:improved early development outcome[J].Pediatrics, 1987, 80(1):68-74.
[5] Claudine Amiel-Tison, Albert Grenier.Neurological assessment during the first year of life[M].New York:Oxford University Press, 1986:46-95.
[6] Amiel-Tison C.Clinical assessment of the infant nervous system[M]//Levene MI, Chervenak FA, Whittle M, et al.Fetal and neonatal neurology and neurosurgery, 3rd ed.London:Churchill Livingstone, 2001:99-120.
[7] 张立新, 徐宝良.52项神经运动检查法在脑瘫筛查中的应用[J].中国妇幼保健, 2009, 24(32):4607-4608.
[8] 鲍秀兰.0～1岁神经运动20项检查(52项简化法)[J].中国儿童康复, 2010, 2(2):9-10.
[9] 鲍秀兰.0～3岁儿童最佳的人生开端:中国宝宝早期教育和潜能开发指南(高危儿卷)[M].北京:中国妇女出版社, 2013:502-517.
[10] 林庆, 李松.小儿脑性瘫痪[M].北京:北京医科大学出版社, 2000:6-10.
[11] Ferrari F, Cioni G, Einspieler C, et al.Cramped synchronized general movements in preterm infants as an early marker for cerebral palsy[J].Arch Pediatr Adolesc Med, 2002, 156(5):460-467.
[12] 席冰玉, 吴卫红, 邹丽萍, 等.早产婴儿早期两种神经系统评估方法的比较[J].中国康复理论与实践, 2010, 7(16):605-606.
PDF(441 KB)
