早产儿全身运动质量评估与新生儿行为神经测定一致性研究  

Agreement between general movements assessment and neonatal behavioral neurological assessment in premature

作　　者：宋国英[1] 孟令丹[2] 董荣芝[1] 马良[1] 刘芳[1] 吕攀攀[1] 

机构地区：[1]滨州医学院附属医院母婴健康促进部,山东滨州256603 [2]滨州医学院附属医院内分泌科,山东滨州256603

出　　处：《中国儿童保健杂志》2013年第8期842-844,共3页Chinese Journal of Child Health Care

基　　金：滨州市科技发展计划项目(20112C092)

摘　　要：【目的】研究扭转阶段全身运动质量(general movements,GMs)评估和新生儿20项行为神经测定法(neo-natal behavioral neurological assessment,NBNA)在评估早产儿中枢神经系统发育情况方面的一致性。【方法】早产儿共169例(男88,女81),纠正胎龄足月后2周分别用两种方法进行评估。【结果】GMs评估:119例正常扭转运动,42例为单调性扭转运动,8例为痉挛-同步性扭转运动。NBNA评估:120例≥35分,49例<35分。两种方法的Kappa值=0.710。【结论】GMs和NBNA在评估早产儿中枢神经系统发育情况方面有着良好的一致性。[Objective] To study the agreement between general movements assessment during writhing period and neonatal behavioral neurolo gical assessment （NBNA） in evaluating central nervous system development situation of prema- ture. [Method] A total of 169 premature infants were evaluated with two methods at 2 weeks after term of corrected gestational age. [Results] For the GMs, 119 cases were assessed as normal writhing movement,42 as poor repertoire general movements,8 as cramped-synchronised. For the NBNA, 120 cases were≥35 points, 49 cases were 〈35 points. Kap- pa value=0. 710. [Conclusion] GMs and NBNA have good consistency in the evaluation of the premature infant＇s central nervous system development.

关 键 词：全身运动质量评估 新生儿行为神经测定 早产儿 一致性 

分 类 号：R722[医药卫生—儿科]