新生儿自发性全身运动对脑损害和脑性瘫痪预测的评估.pdfVIP

7·34 · Chin J Pediatr , December 1998 , Vol 36 , No. 12 · · 论著 新生儿自发性全身运动对脑损害和 脑性瘫痪预测的评估 高峰 　小西行郎 　高屋理子 ( ) 【摘要】　目的 　探讨新生儿自发性全身运动 GMs 对脑损害及其神经系统后遗症 ,特别是脑性 ( ) ( ) 瘫痪 简称脑瘫 的评估作用。方法 　对 18 例新生儿 GMs 进行了定性及半定量研究。结果 　 1 正 ( ) ( ) 常组 GMs 评分为 12. 3 ±1. 1 ,异常组为 8. 4 ±1. 0 ,两者差异有非常显著意义 P 0. 01 。 2 GMs 评 ( ) 分与 5 分钟 Ap gar 评分具有正相关性。 3 GMs 评分对脑瘫的预测价值与颅脑超声检查相似 ,而优于 常规神经系统检查。结论 　GMs 评分对脑损害和脑瘫的预测具有一定的实用意义。 ( ) 【关键词】　婴儿 ,新生 　　运动 Movement 　　脑性瘫痪 Assessment of general movements in the newborns with brain damage and its predictive value on cerebral palsy 　Gao Feng , Y ukuo Konishi , Rieko Takaya . Children′s Hospital of Zhejian g Medical U niversi ty , HangZhou 310003 Depart ment of Paediat rics , Fukui Medical School , Japan 【Abstract 】　Objective 　To investigate the value of spontaneous general movements ( GMs) in the as sessment of neonatal brain damage , particularly of cerebral palsy. Methods 　The qualitative and quantita tive changes in GMs were assessed by using a video system in 18 newborns who had been followed up for two years. Results 　Out of the 18 newborns , 7 developed normally and 11 had cerebral palsy. The score of GMs in normal neonates divided by their neourological outcomes ( 12. 3 ±1. 1) was significantly higher than that of abnormal cases (8. 4 ±1. 0 , P 0. 01) . The Ap gar scor