全身运动质量评估的家庭录像法在早产儿神经发育随访中的临床应用  

Clinical application of home video method of qualitative general movements assessment in follow-up of neurodevelopment of preterm infants

作　　者：焦晓燕[1] 李佳樾[1] 石永生[1] 何莉[1] 南楠[1] 朱瑛[1] 曹蕾[1] 马秀兰[1] 刘馨媛[1] 

机构地区：[1]甘肃省妇幼保健院儿保科,甘肃兰州730050

出　　处：《中国儿童保健杂志》2015年第4期436-439,共4页Chinese Journal of Child Health Care

基　　金：甘肃省科技支撑计划(1304FKCA076)

摘　　要：目的将全身运动(general movements,GMs)家庭录像应用于早产儿评估中,为早产儿神经发育随访探索更简便的GMs评估应用模式。方法依据GMs标准录像的标准由家长在家里摄录,通过网络传至省妇幼机构评估,结果正常者当地随访,每三月省妇幼机构神经运动评估;异常者省妇幼机构随访和康复干预指导,家庭或当地妇幼机构早期干预,建立三级随访。结果共对67例家庭GMs录像评估,扭动阶段61例,不安阶段67例,34例评估结果可疑和异常者接受早期康复干预,3例转至专业康复机构。结论用GMs家庭录像评估对早产儿进行随访,更经济、方便、实用,适合在经济欠发达省份对高危儿开展早期筛查随访。Objective To find the more convenient GMs application method through the using of home general movements(GMS)videos into the premature infants' neural development evaluation. Methods Referring to the standard of GMs,the families took videos of premature infants and uploaded videos to the provincial maternal and child health care hospitals.Then the hospitals evaluated the videos.For the premature infants with normal consequence,these infants took followup visits in the local hospitals and took GMs at provincial maternal and child health care hospitals every three months.For the premature infants with abnormal consequence,they took follow-up visits and rehabilitative intervention in the provincial maternal and child health care hospital.Beside,the families and the local hospitals also took early period intervention,and three level follow-up visit was established. Results Totally 67 home GMs video cases were evaluated.61 cases were in twist stage,67 cases were in uneasy stage,34 cases which had suspicious or abnormal results accepted early period rehabilitative intervention.3cases conveyed to the specialized rehabilitation agencies. Conclusion The clinical application of the GMs in the regular follow up visits of premature infants by in home videos are suitable in the economically undeveloped provinces,because it is economical,convenient and effective.

关 键 词：家庭录像 全身运动质量评估 早产儿 随访 应用 

分 类 号：R473.72[医药卫生—护理学]