早产儿全身运动质量评估与新生儿行为神经测定一致性研究

宋国英; 孟令丹; 董荣芝; 马良; 刘芳; 吕攀攀

中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (8) : 842-844.

临床研究与分析

早产儿全身运动质量评估与新生儿行为神经测定一致性研究

宋国英¹,孟令丹²,董荣芝¹,马良¹,刘芳¹,吕攀攀¹

作者信息 +

Agreement between general movements assessment and neonatal behavioral neurological assessment in premature.

SONG Guo-ying¹,MENG Ling-dan²,DONG Rong-zhi¹,MA Liang¹,LIU Fang¹,LV Pan-pan¹

Author information +

文章历史 +

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。

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.

导出引用

宋国英,孟令丹,董荣芝,马良,刘芳,吕攀攀. 早产儿全身运动质量评估与新生儿行为神经测定一致性研究[J]. 中国儿童保健杂志. 2013, 21(8): 842-844

SONG Guo-ying,MENG Ling-dan,DONG Rong-zhi,MA Liang,LIU Fang,LV Pan-pan. Agreement between general movements assessment and neonatal behavioral neurological assessment in premature.[J]. Chinese Journal of Child Health Care. 2013, 21(8): 842-844

中图分类号： R722

参考文献

[1] 李薇,黄燕,叶如霞,等.早产儿的早期干预对智力、运动发育及脑瘫发生率的影响[J].中国妇幼保健,2011,26(22):3411-3413.
[2] 王涛,蒋波,范春燕,等.早期干预对早产儿的影响[J].中国妇幼保健,2012,27(5):698-699.
[3] 杨红,史惟,邵肖梅,等.全身运动质量评估对高危新生儿神经学发育结局信度和预测效度的研究[J].中国循证儿科杂志,2007,2(3):172-179.
[4] 鲍秀兰.新生儿行为和0~3岁教育[M].北京:中国少年儿童出版社,1995:120-122.
[5] 李松,洪世欣,刘惠丽,等.早产和低出生体重及小于胎龄儿与脑性瘫痪发病的关系[J].中华儿科杂志,2003,41(5):344-347.
[6] 胡亚美,江载芳.诸福棠实用儿科学(下册)[M].7版.北京:人民卫生出版社,2002:1905-1906.
[7] Adde L,Helbostad JL,Jensenius AR,et al.Early prediction of cerebral palsy by computer-based video analysis of general movements:a feasibility study[J].Dev Med Child Neurol,2010,52(8):773-778.
[8] Adde L,Rygg M,Lossius K,et al.General movement assessment:Predicting cerebral palsy in clinical practise[J].Early Hum Dev,2007,83(1):13-18.
[9] 黄晓虹,贺娟,陈晓文.影响早产儿20项行为神经评分的危险因素分析[J].中国小儿急救医学,2011,18(2):116-119.