Abstract: Objective To study the agreement between general movements assessment during writhing period and neonatal behavioral neurological assessment (NBNA) in evaluating central nervous system development situation of premature. Method A total of 169 premature infants were evaluated with two methods at 2 weeks after term of corrected gestational age. Results For the GMs,119 cases were assessed as normal writhing movement,42 as poor repertoire general movements,8 as cramped-synchronised.For the NBNA,120 cases were≥35 points,49 cases were <35 points.Kappa value=0.710.Conclusion GMs and NBNA have good consistency in the evaluation of the premature infant's central nervous system development.

Key words: general movements, neonatal behavioral neurological assessment, premature infants, agreement

摘要： 目的 研究扭转阶段全身运动质量(general movements,GMs) 评估和新生儿20项行为神经测定法(neonatal behavioral neurological assessment,NBNA)在评估早产儿中枢神经系统发育情况方面的一致性。 方法 早产儿共169例(男88,女81),纠正胎龄足月后2周分别用两种方法进行评估。结果 GMs评估:119例正常扭转运动,42例为单调性扭转运动,8例为痉挛-同步性扭转运动。NBNA评估:120例≥35分,49例＜35分。两种方法的Kappa值=0.710。 结论GMs和NBNA在评估早产儿中枢神经系统发育情况方面有着良好的一致性。

关键词: 全身运动质量评估, 新生儿行为神经测定, 早产儿, 一致性