中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (11): 1218-1220.DOI: 10.11852/zgetbjzz2014-22-11-31

• 经验交流 • 上一篇    下一篇

上海市闵行区建立高危儿全身运动评估网络效果评价

黄俊1,李云1,肖丽萍1,杨红2,王晶3,张莺1,史唯2,张越1   

  1. 1上海市闵行区妇幼保健院,上海 201102;
    2 复旦大学附属儿科医院,上海 201102;
    3 上海市闵行区卫生和计划生育委员会,上海 201199
  • 收稿日期:2014-03-04 发布日期:2014-11-10 出版日期:2014-11-10
  • 作者简介:黄俊(1971)，女，浙江人，副主任医师，本科学历，主要从事公共卫生和儿童保健工作。

Effectiveness of general movement assessment across the continuum of health care systems in Minhang district of Shanghai

HUANG Jun1,LI Yun1,XIAO Li-ping1,YANG Hong2,WANG Jing3,ZHANG Ying1,SHI Wei2,ZHANG Yue1   

  1. 1 Shanghai Minhang Maternal and Child Health Care Hospital,Shanghai 201102,China;
    2 Departments of Rehabilitation,Neurology and Neonates,Children's Hospital of Fudan University,Shanghai 201102,China; 3 Shanghai Health and Family Planning Commission,Shanghai 201199,China
  • Received:2014-03-04 Online:2014-11-10 Published:2014-11-10

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被引次数

3

摘要： 目的 对闵行区建立的社区卫生服务中心、闵行区妇幼保健院、复旦大学附属儿科医院三位一体高危儿全身运动(general movements ,GMs)评估网络的效果进行评价。方法 利用闵行区区域卫生信息平台开发应用模块,统一收集GMs评估数据。结果 5年间GMs评估技术为闵行区11 710名高危儿童进行了GMs评估,评估覆盖率从19.39%上升到了80.58%。扭动运动阶段和不安运动阶段的异常结果平均发现率相接近(0.37%、0.57%),两者差异无统计学意义,而可疑结果平均发现率(25.49%、2.4%)差异有统计学意义。5年间不安运动阶段的康复干预率从13.04%上升到53.26%,扭动运动阶段的康复干预率低于不安运动阶段。结论 通过社区卫生服务中心、闵行区妇幼保健院、复旦大学附属儿科医院三位一体建立的高危儿GMs评估工作网络促进了社区婴幼儿神经运动行为发育早期筛检、干预工作。

关键词: 全身运动评估, 高危儿, 网络, 评价

Abstract: Objective To evaluate the effectiveness of general movements (GMs) assessment through the coordination across the continuum of primary,secondary and tertiary healthcare systems. Method GMs assessment results were obtained by means of Minhang electronic health records (EHR). Results During the past five years,11 710 high risk infants were conduct GMs assessment,and the coverage rate rised up from 19.39% to 80.58%,meanwhile the abnormal rate of writhing and fidgety movements were 0.37% and 0.57% respectively,but there was no significant difference.There was significant difference between suspected rate of writhing and fidgety movements (25.49% vs 2.4%) ,and the rehabilitation intervention rate rised up to 53.26% from 13.04%,but writhing movements of which was lower than that of the fidgety movements. Conclusion Through the coordination across the continuum of primary,secondary and tertiary healthcare systems,infant neurological screening and intervention work during the early age have been improved.

Key words: general movements, high risk infant, healthcare system, effectiveness

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