高危儿神经系统发育的评估:236例报道

Assessment of Nervous System of High-risk Infants: 236 Cases Report

目的探索在高危儿神经系统发育结局预测中,神经系统评估方法的选择。方法2015年3月至2016年3月,本院新生儿科和产科出院的高危新生儿336例,采用全身运动(GMs)质量评估、0~1岁神经运动20项检查和Gesell发育量表进行评估。结果共236例完成随访。GMs扭转运动阶段,正常者203例,异常者33例;不安运动阶段,正常者218例,异常者18例;0~1岁神经运动20项检查,正常者202例,异常者34例;Gesell发育量表,异常者12例。结论GMs质量评估、0~1岁神经运动20项检查和Gesell发育量表三种方法相结合能够更加完善地早期或超早期综合预测高危儿神经系统发育情况。

Objective To investigate evaluation methods to predict the outcome of nervous system development in high-risk infants. Methods From March,2015 to March,2016,336 high-risk infants were enrolled.They were assessed by General Movements (GMs) Quality Assessment,0~1 Years Old 20 Items Neuromotor Assessment and Gesell Developmental Schedules. Results A total of 236 infants finishied the study.GMs Quality Assessment showed that 203 cases were normal and 33 cases were abnormal in the writhing movements stage;218 cases were normal and 18 cases were abnormal in the fidgety movemonts stage.0~1 Years Old 20 Items Neuromotor Assessment showed that 202 cases were normal and 34 cases were abnormal.Gesell Developmental Schedules showed that 12 cases were abnormal. Conclusion The combination of GMs Quality Assessment,0~1 Years Old 20 Items Neuromotor Assessment and Gesell Developmental Schedules could better predict the nervous system development of high-risk infants.