目的 探讨在基层妇幼保健网络的高危儿保健中开展全身运动(general movements assessment,GMs)评估技术的应用规范,提高脑瘫等运动发育障碍的早期筛查能力。方法 将应用GMs评估技术的经验加以总结并形成管理规范。结果 应用GMs评估技术的组织管理规范包括工作网络、各医疗机构的职责、GMs专业人员培训和工作保障措施四部分;临床操作规范包括工作目的、服务对象、评估时间、硬件设备、录像记录规范、录像读片规范、GMs评估的结果判断标准、疑难录像复核制度、转介康复和定期催访以及人员配备等十部分内容。 结论 通过初步制订全身运动(GMs)评估技术应用规范,可以提升区域性高危儿神经发育保健水平,促使脑瘫等运动发育障碍儿童获得早期康复服务。

Objective To study the application guidance of GMs assessment for high risk infants in the maternal & child healthcare network to promote the abilities of early screening for developmental motor disorders such as cerebral palsy. Method The management guidance was formed after reviewing the experiences of using GMs assessment. Results The management guidance included the following four parts:establishing the network,dividing the responsibilities of involved organizations,training of staff and working guarantee measures.The clinical guidance included ten parts:working objectives,service users,time of GMs assessment,equipments,video recording,video assessment,results of GMs assessment,rechecking of difficult cases,referring to rehabilitation and follow-up,manning levels. Conclusion By setting-up the application guidance of GMs assessment,competence of healthcare for neurological development of high risk infants is promoted and early rehabilitation is available for motor disabilities such as infants with cerebral pasly.