目的 分析全身运动结合Gesell评估(GDS)预测高危早产儿运动发育结局价值,为尽早筛查存在运动发育障碍高危早产儿提供科学依据。方法 选取2016年11月-2018年11月郑州市妇幼保健院接收的高危早产儿64例,分别于扭动运动阶段及不安运动阶段施行全身运动质量评估,随访至12月龄以临床诊断与GDS明确其运动发育结局,统计应用全身运动质量评估对预测高危早产儿运动发育结局的价值。结果 64例高危早产儿运动发育结局:脑瘫3例(4.69%),运动发育迟缓16例(25.00%),运动发育正常45例(70.31%);对运动发育异常预测:不安运动阶段、扭动运动阶段预测特异度为97.78%、84.44%,敏感度为15.79%、52.63%,阴性预测值为73.33%、80.85%,阳性预测值为75.00%、58.82%。对脑瘫预测:以不安运动阶段与CS扭动运动阶段评估特异度最高均为96.72%。结论 全身运动结合GDS有助于预测高危早产儿运动发育结局。

Objective To analyze the value of general movements(GMs) combined with Gesell Developmental Scale (GDS) in predicting the outcome of motor development in high-risk premature infants,so as to provide scientific basis for early screening of high-risk premature infants with dyskinesia. Methods A total of 64 high risk infants Women and Infants Hospital of Zhengzhou were enrolled in this study from November 2016 to November 2018.GMs assessment was performed at the stage of twisting and uneasy movement.Infants were followed-up to the age of 12 months,and the clinical diagnosis and GDS were used to determine the outcome of motor development.The value of GMs assessment in predicting the motor development outcome of high-risk preterm infants were caculated. Results Among 64 preterm high-risk infants,3(4.69%) cases were found with cerebral palsy,16(25.00%) cases were with motor development retardation,and 45(70.31%) cases were found with normal motor development.In terms of predicting abnormal results of motor development,the specificity of the restless movement stage and twisting stages was 97.78%,84.44%,respectively,and the sensitivity was 15.79%,52.63%,negative predictive value was 73.33%,80.85%,positive predictive value was 75.00%,58.82%.In terms of prediction of cerebral palsy,the highest specificity of the assessment was 96.72% in the stage of the restless movement and the stage of the CS movement. Conclusion GMs combined with GDS helps to predict the motor development outcome of preterm high-risk infants.