全身运动质量评估对高危儿神经发育结局的预测效度研究

发布时间：2018-05-02 21:03

本文选题：全身运动质量评估 + 高危儿　；参考：《中国妇幼保健》2011年36期

【摘要】：目的:比较GMs质量评估与传统的神经学检查方法对高危儿神经发育结局预测的价值。方法:将2008年9月～2009年8月在安徽医科大学第三附属医院出生的除外先天性缺陷以及家族遗传病的197例高危儿,应用全身运动质量评估、0～1岁52项神经运动检查在出生后的不同阶段进行评估,1岁时应用《贝利婴幼儿发展量表》中的运动量表评估高危儿是否有神经行为发育异常。结果:GMs质量评估结果显示,早产和扭动运动阶段:正常者146例,异常者51例,敏感度88.89%,特异度84.12%,阳性预测值47.06%,阴性预测值97.95%;不安运动阶段:正常169例,异常为28例,敏感度81.48%,特异度96.47%,阳性预测值78.57%,阴性预测值97.04%。0～1岁52项神经运动检查结果显示,正常者94例,异常为103例,敏感度92.59%,特异度54.12%,阳性预测值24.27%,阴性预测值97.87%。三者的Kappa值分别为0.531、0.768和0.214。结论:全身运动质量评估与传统的神经学检查方法相比在预测高危儿的神经发育学结局方面具有较高的敏感度、特异度、阳性预测值及一致性,适合在我国应用和推广。
[Abstract]:Objective: To compare the value of GMs quality assessment and traditional neurologic examination in predicting the neurodevelopmental outcomes of high-risk infants. Methods: 197 high risk infants born from September 2008 to August 2009 at the Third Affiliated Hospital of Medical University Of Anhui, with the exception of congenital defects and family hereditary diseases, were assessed by the total body exercise quality assessment, and 52 deity, 0~1 years old. Exercise tests were evaluated at different stages after birth. At the age of 1, the Bailey infant development scale was used to assess whether high-risk infants had neurobehavioral dysplasia. Results: the results of GMs quality assessment showed that the preterm and kinesthetic stages were 146 normal, 51 abnormal, 88.89% sensitivity, 84.12% specificity, positive preconditioning. The test value was 47.06% and the negative predictive value was 97.95%. The uneasy movement stage: 169 normal cases, 28 abnormal, 81.48% sensitivity, 96.47% specificity, 78.57% positive predictive value, negative predictive value 97.04%.0 to 1 year 52, 94 cases, 103 cases, sensitivity 92.59%, specificity 54.12%, positive predictive value 24.27%, negative prediction. The value of the value of the value of 97.87%. three is the 0.531,0.768 and the 0.214., respectively. The whole body exercise quality assessment has a higher sensitivity, specificity, positive predictive value and consistency in predicting the neurodevelopmental outcome of high-risk infants, which is suitable for application and promotion in China.

【作者单位】：安徽医科大学第三附属医院儿科;
【基金】：合肥市2007年科技计划项目〔2007-1211〕
【分类号】：R748

【二级参考文献】