0~1岁52项神经运动检查和简化20项相关性研究

中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (3): 310-311.

0~1岁52项神经运动检查和简化20项相关性研究

吴卫红¹, 鲍秀兰², 席冰玉¹, 孙淑英³, 刘品多⁴, 张雁¹, 刘建军¹, 曾凡勇¹

1 首都医科大学康复医学院北京博爱医院, 北京 100068;
2 北京协和医院, 北京 100730;
3 首都儿科研究所, 北京 100020;
4 北京理工大学生命学院, 北京 100081

收稿日期:2013-07-31 发布日期:2014-03-05 出版日期:2014-03-05
作者简介:吴卫红(1956-), 女, 江苏人, 主任医师, 副教授, 主要研究方向为儿童脑瘫康复。

Research on the consistency of the simplified 20 Items Neuromotor Assessment and the 52 Items Neuromotor Assessment from birth to 1 year old.

WU Wei-hong¹, BAO Xiu-lan², XI Bing-yu¹, SUN Shu-ying³, LIU Pin-duo⁴, ZHANG Yan¹, LIU Jian-jun¹, ZENG Fan-yong¹.

1 Rehabilitation Medicine College of Capital Medical University, Department of Children Rehabilitation, Beijing Charity Hospital, Beijing 100068, China; 2 Pediatric Department, Peking Union Medical College Hospital, Beijing 100730, China; 3 Capital Institute of Pediatrics, Beijing 100020, China; 4 School of Life Science and Technology, Beijing Institute of Technology, Beijing 100081, China

Received:2013-07-31 Online:2014-03-05 Published:2014-03-05

摘要/Abstract

摘要： 目的应用《0~1岁神经运动20项检查》和《0～1岁52项神经运动检查》, 对高危儿进行早期筛查脑瘫效果一致性的研究。方法将脑瘫高危新生儿中诊断为脑瘫的295例作为研究对象, 在其3、6、9月及12月时用两种方法的检查结果, 用Kappa方法进行一致性检验。结果两种方法的一致性检验Kappa=0.796, P=0.000, 有高度统计学意义。结论两种检查方法在脑瘫患儿早期评估中枢神经系统发育的异常情况具有良好的一致性。因此, 可以用《0~1岁神经运动20项检查》代替《0～1岁52项神经运动检查》, 作为早期发现婴儿脑瘫发育异常的筛查方法。

关键词: 脑瘫, 高危儿, 神经运动检查

Abstract: Objectives To research the consistency of the 20 items neuromotor assessment and the 52 items neuromotor assessment from birth to 1 year old of high-risk infants, the screening effect of cerebral palsy were applied during the early period. Methods A total of 295 children who were diagnosed as cerebral palsy were chosen, and all of them were high-risk neonates.During their 3 months old agreement was qualified via Kappa values. Results The value of Kappa of the consistency check for two Methods was 0.796, P=0, 000, and it had a significant difference. Conclusions In discovering the abnormal condition of the cerebral palsy children's neurological system during the first year of period, the consistency of the 20 items neuromotor assessment from birth to 1 year old and the 52 items neuromotor assessment from birth to 1 year old is excellent.Therefore, the 20 items neuromotor assessment from birth to 1 year old can replace the 52 items neuromotor assessment from birth to 1 year old.

Key words: cerebral palsy, high-risk infants, neuromotor examination

中图分类号:

R749.94

吴卫红, 鲍秀兰, 席冰玉, 孙淑英, 刘品多, 张雁, 刘建军, 曾凡勇. 0~1岁52项神经运动检查和简化20项相关性研究[J]. 中国儿童保健杂志, 2014, 22(3): 310-311.

WU Wei-hong, BAO Xiu-lan, XI Bing-yu, SUN Shu-ying, LIU Pin-duo, ZHANG Yan, LIU Jian-jun, ZENG Fan-yong.. Research on the consistency of the simplified 20 Items Neuromotor Assessment and the 52 Items Neuromotor Assessment from birth to 1 year old.[J]. journal1, 2014, 22(3): 310-311.

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