关键词: 高危儿, 全身运动质量评估, 新生儿行为神经测定

Abstract: Objective To study the consistency between general movements (GMs) assessment and neonatal behavioral neurological assessment (NBNA) results in high-risk infants. Methods Totally 706 high-risk infants born in the Gansu Provincial Maternity and Childcare Hospital from January 2017 to January 2018 and followed up in Child Healthcare Department were enrolled in this study. All infants were assessed at twisting movement stage and finished NBNA neurological assessment. Kappa value of the two methods was calculated to analyze the consistency. Results The normal detection rate of GMs in full-term and normal birth weight infants was higher than that of premature and low birth weight infants (P＜0.05). And the detection rate of cramped-synchronized GMs in preterm infants was significantly higher than that in term infants (P=0.043). With the decrease of gestational age and birth weight, the detection rate of abnormal GMs presented an increasing trend significantly (P＜0.05). There were certain correlations between NBNA result and GMs assessment at different gestational age and birth weight groups, and the Kappa values were 0.112-0.289, 0.118-0.194 (P＜0.05). Conclusions The consistency of NBNA score and GMs assessment result at different gestational age and birth weight groups still needs to be further discussed. Moreover, the two methods cannot be replaced by each other. Combined application can evaluate the brain development of high-risk infants comprehensively, and promote their motor development and social adaptability.

Key words: high-risk infants, general movements assessment, neonatal behavioral neurological assessment