0～1岁52项神经运动检查和简化20项相关性研究

Research on the consistency of the simplified 20 Items Neuromotor Assessment and the 52 Items Neuromotor Assessment from birth to 1 year old

目的应用《0～1岁神经运动20项检查》和《0～1岁52项神经运动检查》,对高危儿进行早期筛查脑瘫效果一致性的研究。方法将脑瘫高危新生儿中诊断为脑瘫的295例作为研究对象,在其3、6、9月及12月时用两种方法的检查结果,用Kappa方法进行一致性检验。结果两种方法的一致性检验Kappa=0.796,P=0.000,有高度统计学意义。结论两种检查方法在脑瘫患儿早期评估中枢神经系统发育的异常情况具有良好的一致性。因此,可以用《0～1岁神经运动20项检查》代替《0～1岁52项神经运动检查》,作为早期发现婴儿脑瘫发育异常的筛查方法。

Objectives To research the consistency of the 20 items neuromotor assessment and the 52 items neuromo- tor assessment from birth to 1 year old of high-risk infants, the screening effect of cerebral palsy were applied during the ear- ly period. Methods A total of 295 children who were diagnosed as cerebral palsy were chosen,and all of them were high- risk neonates. During their 3 months old agreement was qualified via Kappa values. Results The value of Kappa of the consistency check for two methods was 0. 796, P= 0,000,and it had a significant difference. Conclusions In discovering the abnormal condition of the cerebral palsy children＇s neurological system during the first year of period, the consistency of the 20 items neuromotor assessment from birth to 1 year old and the 52 items neuromotor assessment from birth to I year old is excellent. Therefore,the 20 items neuromotor assessment from birth to 1 year old can replace the 52 items neuromotor assessment from birth to 1 year old.