新生儿自发性全身运动对脑损害和脑性瘫痪预测的评估

Assessment of general movements in the newborns with brain damage and its predictive value on cerebral palsy

目的探讨新生儿自发性全身运动（ＧＭｓ）对脑损害及其神经系统后遗症，特别是脑性瘫痪（简称脑瘫）的评估作用。方法对１８例新生儿ＧＭｓ进行了定性及半定量研究。结果（１）正常组ＧＭｓ评分为１２．３±１．１，异常组为８．４±１．０，两者差异有非常显著意义（Ｐ＜０．０１）。（２）ＧＭｓ评分与５分钟Ａｐｇａｒ评分具有正相关性。（３）ＧＭｓ评分对脑瘫的预测价值与颅脑超声检查相似，而优于常规神经系统检查。

Objective To investigate the value of spontaneous general movements ( GMs) in the assessment of neonatal brain damage, particularly of cerebral palsy. Methods The qualitative and quantitative changes in GMs were assessed by using a video system in 18 newborns who had been followed up for two years. Results Out of the 18 newborns, 7 developed normally and 11 had cerebral palsy. The score of GMs in normal neonates divided by their neourological outcomes (12.3±1.1) was significantly higher than that of abnormal cases (8.4± 1.0, P <0.01). The Apgar score at 5 minutes was positively correlated with the GMs score. It was shown that the predictive value of GMs assessment was similar to that of neuroimage and better than neurological examination. Conclusion The GMs assessment is a useful method to determine the degree of brain damage and cerebral palsy.