全身运动质量评估与婴儿运动表现测试评分在高危儿应用中的一致性分析  

Consistency analysis of application of between general movements assessment and test of infant motor performance in high-risk infants

作　　者：周梅[1] 何莎莎[1] 张先红[1] 杨章菊[1] 范娟[1] ZHOU Mei;HE Shasha;ZHANG Xianhong;YANG Zhangju;FAN Juan(Department of Neonatology,Affiliated Children’s Hospital of Chongqing Medical University/China International Science and Technology Cooperation Base of Child Development and Critical Disorders/Ministry of Education Key Laboratory of Child Development and Disorders/National Demonstration Base of Standardized Training Base for Resident Physicians/Chongqing Municipal Key Laboratory of Pediatrics,Chongqing 400014 China)

机构地区：[1]重庆医科大学附属儿童医院新生儿科/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室,400014

出　　处：《重庆医学》2023年第1期11-14,共4页Chongqing medicine

基　　金：重庆市2021年科卫联合医学科研项目(2021MSXM119)。

摘　　要：目的分析全身运动质量(GMs)评估和婴儿运动表现测试(TIMP)在高危儿应用中的一致性。方法回顾性分析2020年1月至2021年6月在该院随访的高危儿,选择在同一天就诊时间内完成GMs评估和TIMP的研究对象共246例,分析两种方法的一致性。结果GMs扭动运动阶段评估为异常的比例明显高于TIMP评为异常的比例(P<0.05),GMs不安运动阶段评估为异常的比例明显低于TIMP评为异常的比例(P<0.05)。GMs扭动运动和不安运动阶段评估为异常组的TIMP评分Z值明显低于正常组(P<0.05)。GMs扭动运动、不安运动阶段评估与TIMP一致性一般(Kappa=0.302、0.229,P<0.05)。结论GMs评估与TIMP有一定相关性,联合应用可更全面评估高危儿脑损伤风险。Objective To analyze the consistency of application of general movements(GMs)assessment and the test of infant motor performance(TIMP)in high-risk infants.Methods The high-risk infants followed up in this hospital from January 2020 to June 2021 were retrospectively analyzed.A total of 246 subjects completing the GMs assessment and TIMP scoring within the same day of visit were selected.The consistency between the two methods was analyzed.Results The proportion of GMs writhing movement stage as abnormality by evaluation was significantly higher than that of TIMP(P<0.05),and the proportion of GMS uneasy stage as abnormality by evaluation was significantly lower than that of TIMP(P<0.05).The Z-value of TIMP score in the abnormal group with writhing movement stage and uneasy movement stage by evaluation was significantly lower than that in the normal group(P<0.05).The consistency between GMs writhing movement stage and uneasy movement stage evaluation with TIMP was fair(Kappa=0.302,0.229,P<0.05).Conclusion There is a certain correlation between the GMs assessment and TIMP,and their combined application could assess the risk of brain injury in high-risk infants more comprehensively.

关 键 词：高危儿 全身运动质量评估 婴儿运动表现测试 

分 类 号：R72[医药卫生—儿科]