关键词: 早产儿, 全身运动质量评估, 神经认知发育

Abstract: Objective To analyze the difference on the overall developmental outcomes measured by Development Screening Test (DST) in children with abnormal and normal results of general movements (GMs), in order to explore the correlation between GMs assessment mild neurologic dysfunction. Methods Participants were recorded with GMs assessment results during writhing and fidgety movement period from 2009 to 2017.And the developmental quotient (DQ) and mental index (MI) were assessed by DST at 9,12 and 24 months old. Results Single factor analysis showed that there was no significant differences on DQ and MI results between children with normal and abnormal GMs assessment results among 9,12 and 24-month-old infants.After adjusting confounding factors, abnormal results of GMs fidgety movement indicated high risk of abnormal developmental outcomes(9 months old:OR=3.075,95%CI:1.013-9.331;12 months old:OR=3.638,95%CI:1.552-8.527;24 months old:OR=2.750,95%CI:1.213-6.242).The sensibility of GMs assessment to predict later outcome was low(8.82%~18.60%), while the specificity was high(＞95%). Conclusion GMs assessment has limitation to predict later development outcome of infants, and can not replace other development assessments.

Key words: premature infants, general movements, neurocognitive development