目的 研究利用全身运动(GMs)评估指导极早和超早产儿早期康复干预的可行性,为临床应用提供依据。方法 选取2016年5月-2019年5月在厦门市儿童医院康复科进行早期干预的76例早产儿(极早产儿51例,超早产儿25例),定期随访至纠正12月龄并获得运动发育结局。结果 76例早产儿按GMs结果分高风险(甲组)、中风险(乙组)、低风险(丙组)3组进行早期干预,纠正12月龄,运动发育结局异常16例(21.1%),其中脑性瘫痪11例(14.5%),运动发育迟缓5例(6.6%)。结论 应用GMs评估结果分组指导极早、超早产儿早期干预的方法可行,使康复医疗资源得到合理分配,可以在临床工作中进一步推广和应用。

Objective To explore the feasibility of early intervention using the general movements (GMs) assessment results as grouping guidance in very premature and extremely premature infants,in order to provide basis for clinic application. Methods From May 2016 to May 2019, 76 premature infants (51 very premature infants and 25 extremely premature infants) who received early intervention in the rehabilitation department of Xiamen Children's Hospital were enrolled in the study. Regular follow-up protocol was conducted to these infants. The gross motor developmental outcome was evaluated at corrected age of 12 months old. Results According to GMs results, 76 premature infants were divided into group A (high risk), group B (medium risk) and group C (low risk) for early intervention till corrected age of 12 months old. Altogether 16 cases (21.1%) had abnormal motor development outcomes, among whom there were 11 cases (14.5%) with cerebral palsy and 5 cases (6.6%) with motor development retardation. Conclusion It is feasible to apply GMs results to guide early intervention in grouping of very early and extremely premature infants, so as to reasonably allocate rehabilitation medical resources, indicating that GMs assessment can be further applied in clinical work.