目的 对闵行区建立的社区卫生服务中心、闵行区妇幼保健院、复旦大学附属儿科医院三位一体高危儿全身运动(general movements ,GMs)评估网络的效果进行评价。方法 利用闵行区区域卫生信息平台开发应用模块,统一收集GMs评估数据。结果 5年间GMs评估技术为闵行区11 710名高危儿童进行了GMs评估,评估覆盖率从19.39%上升到了80.58%。扭动运动阶段和不安运动阶段的异常结果平均发现率相接近(0.37%、0.57%),两者差异无统计学意义,而可疑结果平均发现率(25.49%、2.4%)差异有统计学意义。5年间不安运动阶段的康复干预率从13.04%上升到53.26%,扭动运动阶段的康复干预率低于不安运动阶段。结论 通过社区卫生服务中心、闵行区妇幼保健院、复旦大学附属儿科医院三位一体建立的高危儿GMs评估工作网络促进了社区婴幼儿神经运动行为发育早期筛检、干预工作。

Objective To evaluate the effectiveness of general movements (GMs) assessment through the coordination across the continuum of primary,secondary and tertiary healthcare systems. Method GMs assessment results were obtained by means of Minhang electronic health records (EHR). Results During the past five years,11 710 high risk infants were conduct GMs assessment,and the coverage rate rised up from 19.39% to 80.58%,meanwhile the abnormal rate of writhing and fidgety movements were 0.37% and 0.57% respectively,but there was no significant difference.There was significant difference between suspected rate of writhing and fidgety movements (25.49% vs 2.4%) ,and the rehabilitation intervention rate rised up to 53.26% from 13.04%,but writhing movements of which was lower than that of the fidgety movements. Conclusion Through the coordination across the continuum of primary,secondary and tertiary healthcare systems,infant neurological screening and intervention work during the early age have been improved.