关键词: 全身运动评估, 不安运动, 危险因素, 婴儿

Abstract: Objective To analyze the risk factors influencing the quality of general movements (GMs) in infants during the period of fidgety movements, in order to provide scientific basis for clinical treatment. Methods A total of 719 high-risk infants receiving GMs assessment from July 2015 to April 2018 and at the stage of fidgety movements were enrolled in this study, including 571 cases of normal group and 148 cases of abnormal group by GMs assessment.Data on risk factors of antenatal, intrapartum and postpartum that may affect the quality of GMs in infants were investigated and collected. Results Single factor analysis showed that the birth weight of the abnormal group was significantly lower than that of the normal group (P<0.01), while the rates of gestational age (<30 weeks), neonatal asphyxia, hypoxic ischemic encephalopathy, neonatal hyperbilirubinemia, intracranial bleeding, and neonatal convulsions of the abnormal group were significantly higher than those of the normal group(P<0.05).Bivariate Logistic regression analysis indicated that birth weight(OR=0.645,95%CI:0.474-0.878)、gestational age(<30 weeks) (OR=4.05,95%CI:1.565-10.484)、hypoxic ischemic encephalopathy (OR=3.152,95% CI:1.765-5.629)、neonatal hyperbilirubinemia (OR=5.07,95%CI:3.161-8.132)、neonatal convulsions (OR=3.579,95%CI:1.572-8.146) were influencing factors for low quality of GMs in the stage of fidgety movements. Conclusions Gestational age under 30 weeks, hypoxic ischemic encephalopathy, neonatal hyperbilirubinemia and neonatal convulsions are risk factors for abnormal GMs results in infants during the period of fidgety movements, and tow birth weight is protective factor.Early screening and intervention should be performed to the infants with such high risk factors.

Key words: general movements assessment, fidgety movements, risk factor, infants