早产儿全身运动与Gesell发育评价的关系

目的探讨早产儿儿全身运动（GMs）与Gesell发育评价之间的关系。方法选择徐州市儿童医院2012年8月至12月收治的早产儿48例，在扭动运动阶段，即胎龄（PMA）38～47周时进行全身运动质量评估，2岁时进行Gesell发育评价，将不同类型的全身运动与Gesell发育评价结果进行统计分析。结果在Gesell发育评价的各个能区，全身运动正常的早产儿与轻度异常的单调性全身运动的患儿无统计学差异，而明显异常的单调性运动与痉挛同步性全身运动组间比较均有显著性差异。结论全身运动质量评估与Gesell发育评价的各个能区具有高度一致性。轻度异常的全身运动预后较好，运动形式异常程度越高Gesell发育评价各能区的发育商越低。

Objective To inquire into the relationship between Gesell developmental scale and general movements（GMs）of premature infants.Methods 48 premature infants were studied. GMs were assessed at ＇writhing＇ GM age [38 47 weeks postmenstrual age （PMA）].All the babies were measured using Gesell developmental scale when they were two years old.Data were analyzed by SPSSl6.0.Results The marks of development quotient between normal general movements and mild abnormal general movements group had no statistical significance（P〉 0.05）;There were significant differences between monotonicity movement and spasm synchronization group.Conclusion The body general movements and the development quotient of the Gesell region has a high degree of consistency.Baby with mildly abnormal general movements prognosis is better,the higher the？motion form of the abnor- mal degree,the lower the development quotient will be.