全身运动质量评估与神经运动检查法评估康复科患儿早期中枢神经系统发育情况价值比较.docVIP

全身运动质量评估与神经运动检查法评估康复科患儿早期中枢神经系统发育情况价值比较 　　 　　[摘要] 目的 比较全身运动质量评估（GMS）与神经运动检查法对儿童医院康复科患儿早期中枢神经系统发育情况的评估价值。 方法 选择2012年1月~2013年1月徐州市儿童医院康复科进行治疗的早产儿86例为研究对象，分别对所有患儿进行全身运动质量评估及0~1岁52项神经运动检查法评价。分析全身运动质量评估结果和52项神经运动检查法的检查结果是否一致。 结果 经全身运动质量评估判定后，患儿扭动运动阶段，GMS正常者76例，占88.37%，异常者进一步区分为单调运动（PR）者8例，占9.30%；痉挛-同步运动（CS）者2例，占2.33%；混乱运动（CH）者0例，占0.00%。应用52项神经运动检查法进行评估，正常76例，异常10例，两次检查的结果虽有部分差异，但各维度结果比较，差异均无统计学意义（P ＞ 0.05）。根据一致性Kappa检验，GMS评分法与52项神经运动法具有较好的一致性（Kappa=0.711，P = 0.004）。 结论 GMS评分法与0~1岁52项神经运动检查法均可对康复科患儿进行早期中枢神经系统的发育情况评价，两者具有一致性，但GMS评分法相对更加简便，且准确性较好，值得临床推荐。 　　[关键词] 全身运动质量评估；52项神经运动检查法；儿童医院；中枢神经系统发育；评估价值 　　[中图分类号] R742.3[文献标识码] B[文章编号] 1673-7210（2014）05（a）-0151-03 　　 　　Value contrast of GMS and neurological assessment in early central nervous system development of children in department of rehabilitation 　　BAO Kexiu WANG Yuqing YANG Zhongxiu 　　Department of Rehabilitation, Childrens Hospital of Xuzhou City, Jiangsu Province, Xuzhou 221006, China 　　[Abstract] Objective To study the assessment value of GMS and 52 items neurological assessment in childrens early central nervous system development in rehabilitation department of childrens hospital. Methods 86 prematures from January 2012 to January 2013 in Rehabilitation Department of Childrens Hospital of Xuzhou City were selected as research objects. All prematures were assessed by the qualitative assessment of general movements (GMS) and 52 items neurological assessment from birth to 1 year, GMS scoring results and test results of 0~1 year old 52 items neurological assessment were analyzed and their consistent were compared. Results After GMS scoring determination, the childrens twisting motion stage, in 76 cases with normal GMS score, accounted for 88.37%, they were further divided into monotonous abnormal movement (PR) in 8 cases, accounted for 9.30%, spasms-synchronized movement (CS) in 2 cases, accounted 2.33%, chaotic movement (CH) in 0 case, accounted for 0.00%. Although two part of the examination results had di