ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (6): 534-537.doi: 10.3969/j.issn.1674-3865.2018.06.023

• 临床研究 • 上一篇    下一篇

全身运动质量评估对于婴儿远期预测价值的观察

林年年，王阳，张佳，郑晓枫   

  1. 110000 沈阳，沈阳市儿童医院康复科
  • 出版日期:2018-12-25 发布日期:2019-03-25
  • 通讯作者: 王阳，E-mail：5189292@qq.com
  • 作者简介:林年年（1980-），女，医学硕士，副主任医师。研究方向：小儿神经系统疾病的评估与康复

Observation on the long-term predictive value of the assessment of general movement in infants

LIN Niannian，WANG Yang，ZHANG Jia，ZHENG Xiaofeng   

  1. Shenyang Children's Hospital, Shenyang 110000, China
  • Online:2018-12-25 Published:2019-03-25

PDF (PC)

108

摘要：
目的
观察进行全身运动质量评估婴儿2年后的发育情况。
方法
2015年3月至2016年3月沈阳市儿童医院康复门诊就诊的高危儿203例，均进行了全身运动质量评估。对婴儿整体运动发育情况进行访视，其中能够坚持随访到2岁患儿共54例。
结果
203例中，扭动运动中单调性全身运动比例为39.2％（49/125），痉挛同步性全身运动比例为1.6％（2/125），不安运动异常比例为24.4％（33/135）。随访到的54例中，扭动运动中单调性全身运动比例为44.0％（11/25），痉挛同步性全身运动比例为4.0％（1/25），不安运动异常比例为25.7％（9/35）。前期全身运动质量评估结果存在问题的患儿共10例，在后期随访中符合当初对于其发展为脑性瘫痪的诊断。扭动阶段表现单调性全身运动的患者，不同程度存在一定的语言及社交行为问题。
结论
对于全身运动质量评估非典型脑性瘫痪诊断标准的患儿，也需要定期监测其生长发育情况的变化，同时对于高危儿进行规范化的管理，及时发现问题针对性予以干预或治疗。

关键词: 脑性瘫痪, 全身运动质量评估, 高危儿管理

Abstract:
Objective
To observe the development of infants receiving the assessment of general movement for 2 years.
Methods
From March 2015 to March 2016, 203 high-risk children admitted to the Rehabilitation Outpatient Department of Shenyang Children's Hospital were evaluated by the assessment of general movement. The overall motor development of the children was observed, and a total of 54 children were able to be followed up to the age of 2 years.
Results
Among the 203 cases, the poor repertoire movement was 39.2%(49/125), the cramped-synchromised movement was 1.6%(2/125), and 24.4%(33/135) had abnormal fidgety movement. Among the 54 patients who were followed up, the poor repertoire movement was 44.0%(11/25), the cramped-synchromised movement was 4.0%(1/25), and the abnormal fidgety movement was 25.7%(9/35). The early stage results of the assessment of general movement showed that, a total of 10 cases had problems, which conformed to the original diagnosis that it would develop into cerebral palsy in the later follow-up. The patients whose movement were poor repertoire in the twist stage had certain language and social behavior problems.
ConclusionFor infants with assessment of general movements as non-typical cerebral palsy, it is also necessary to regularly monitor the changes in their growth and development. At the same time, standardized management should be carried out for high-risk infants to find problems in time and provide targeted intervention or treatment.

Key words: Cerebral palsy, Assessment of general movement, High-risk infant management