摘要
目的探讨不安运动阶段全身运动（GMs）评估对双胎多胎早产儿运动发育结局的预测效度。方法纳入2011年7月至2016年2月在厦门市儿童医院康复科和复旦大学附属儿科医院康复科接受GMs评估并定期随访至1周岁的双胎多胎早产儿53例，应用Peabody运动发育量表评定1周岁的运动发育能力并进行神经学体检，以1周岁运动发育结局为标准计算不安运动阶段GMs评估对于运动发育结局的预测效度。结果对53例双胎多胎早产儿的研究录像进行GMs评估，有43例（81．1％）表现为正常不安运动（NF），10例（18．9％）为不安运动缺乏（F-）。53例研究对象中，1周岁时运动发育结局正常者43例（81．1％），运动发育结局异常者10例（18．9％），全部为脑瘫患儿，未见运动发育迟缓者。不安运动缺乏（F-）对于脑性瘫痪异常运动发育结局的预测效度为敏感度90．0％、特异度97．7％，阳性预测值90．0％，阴性预测值97．7％。结论双胎多胎早产儿的运动发育随访中，可以采用不安运动阶段GMs评估作为早期预测指标。
Objective To study the predictive validity of fidgety general movement assessment in pre-term twins and muhiplets for motor development outcomes. Methods A total of 53 pre-term twins or multiplets delivered between July 2011 and February 2016 participated in this study. They were assessed using a general movements （GM） assessment and participated in the follow-up program until one year old. The motor development outcomes of the infants at one year old were determined according to clinical diagnoses and the Peabody developmental motor scale number two （PDMS-2） evaluation. The predictive validity of fidgety general movement assessment for motor development outcomes was calculated against the standard motor development of infants at one year old. Results There were 53 twins or multiplets who accepted the GM assessment of fidgety movement period. Of these, 43 were assessed as normal （NF） and ten （19%） as lacking a normal level of fidgety movement （F-）. All 53 cases were followed-up for the motor development outcome. Forty-three cases （81.1%） were assessed as normal at one year old, while ten （18.9%） were assessed as abnormal. All ten had cerebral palsy, and no motor development retardation was found. The predictive value of F- for cerebral palsy was 90.0% in terms of sensitivity, 97.7% in terms of specificity, 90.0% in posi- tive predictive value, and 97.7% in terms of negative predictive value. Conclusions Among pre-term twins or multi- plets, the fidgety general movement assessment can be a useful early indicator of motor development difficulties.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2017年第4期264-266,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
全身运动评估
不安运动缺乏
双胎多胎
早产儿
脑性瘫痪
General movements assessment
Fidgeting
Twins
Multiple births
Pre-term infants
Cerebral palsy
