全身运动评估技术在上海市闵行区高危儿管理中的应用规范初探  

Application guidance of general movements assessment for high risk infants in Minhang district of Shanghai

作　　者：李云 杨红[2] 肖丽萍 史惟[2] 黄俊 孙梅梅 凤玉英 蒋良华[5] 张莺 侯方华[2] 王艺[2] 邵肖梅[2] 

机构地区：[1]上海市闵行区妇幼保健院,上海201102 [2]复旦大学附属儿科医院康复科/神经科/新生儿科,上海201102 [3]上海市闵行区梅陇社区卫生服务中心,上海201100 [4]上海市闵行区颛桥社区卫生服务中心,上海201108 [5]上海市闵行区江川社区卫生服务中心,上海200240

出　　处：《中国儿童保健杂志》2013年第4期444-446,共3页Chinese Journal of Child Health Care

基　　金：上海市卫生局科研课题(2011-147)

摘　　要：【目的】探讨在基层妇幼保健网络的高危儿保健中开展全身运动(general movements assessment,GMs)评估技术的应用规范,提高脑瘫等运动发育障碍的早期筛查能力。【方法】将应用GMs评估技术的经验加以总结并形成管理规范。【结果】应用GMs评估技术的组织管理规范包括工作网络、各医疗机构的职责、GMs专业人员培训和工作保障措施四部分;临床操作规范包括工作目的、服务对象、评估时间、硬件设备、录像记录规范、录像读片规范、GMs评估的结果判断标准、疑难录像复核制度、转介康复和定期催访以及人员配备等十部分内容。【结论】通过初步制订全身运动(GMs)评估技术应用规范,可以提升区域性高危儿神经发育保健水平,促使脑瘫等运动发育障碍儿童获得早期康复服务。[Objective] To study the application guidance of GMs assessment for high risk infants in the maternal child healthcare network to promote the abilities of early screening for developmental motor disorders such as cerebral palsy. [Method] The management guidance was formed after reviewing the experiences of using GMs assessment. [Results] The management guidance included the following four parts： establishing the network, dividing the responsibilities of in- volved organizations, training of staff and working guarantee measures. The clinical guidance included ten parts., working ob- jectives, service users, time of GMs assessment, equipments, video recording, video assessment, results of GMs assessment, rechecking of difficult cases, referring to rehabilitation and follow-up, manning levels. [Conclusion] By setting-up the ap- plication guidance of GMs assessment,competence of healthcare for neurological development of high risk infants is promoted and early rehabilitation is available for motor disabilities such as infants with cerebral pasly.

关 键 词：全身运动评估 高危儿 脑瘫 筛查 管理 

分 类 号：R722.1[医药卫生—儿科]