全身运动质量评估在高危患儿专案管理中的应用

焦云, 贾清政

焦云, 贾清政. 全身运动质量评估在高危患儿专案管理中的应用[J]. 实用临床医药杂志, 2020, 24(24): 119-121. DOI: 10.7619/jcmp.202024036
引用本文: 焦云, 贾清政. 全身运动质量评估在高危患儿专案管理中的应用[J]. 实用临床医药杂志, 2020, 24(24): 119-121. DOI: 10.7619/jcmp.202024036
JIAO Yun, JIA Qingzheng. Application of general movement quality evaluation in project management of high risk children[J]. Journal of Clinical Medicine in Practice, 2020, 24(24): 119-121. DOI: 10.7619/jcmp.202024036
Citation: JIAO Yun, JIA Qingzheng. Application of general movement quality evaluation in project management of high risk children[J]. Journal of Clinical Medicine in Practice, 2020, 24(24): 119-121. DOI: 10.7619/jcmp.202024036

全身运动质量评估在高危患儿专案管理中的应用

基金项目: 

2018年度海南省卫生计生行业科研项目(1801320141A2003)

详细信息
  • 中图分类号: R722.6;R174

Application of general movement quality evaluation in project management of high risk children

  • 摘要: 目的 探讨全身运动质量评估(GMs)在高危患儿专案管理中的应用价值。 方法 选取2018年2月—2020年6月在海南省妇女儿童医学中心高危患儿门诊就诊的高危患儿188例为研究对象,持续监测并随访至6个月龄。将188例患儿随机分为观察组96例和对照组92例。观察组每个月接受1次GMs评估并指导干预,对照组接受定期体检及常规指导干预。6个月龄时,对所有高危患儿进行Peabody运动功能评估。 结果 6个月龄高危患儿Peabody运动功能评估结果显示,观察组总体运动发育商高于对照组,差异有统计学意义(P<0.05)。 结论 在高危患儿管理中应用GMs评估进行监测,能早期筛查出运动发育异常的患儿,进而实施早期干预,提高随访率,最大限度地降低儿童残疾率,提高儿童身体素质。
    Abstract: Objective To explore the value of general movements(GMS)in project management of high-risk children. Methods From February 2018 to June 2020, a total of 188 high risk children in the outpatient department of high risk children in Hainan Women and Children's Medical Center were selected as study subjects, and were continuously monitored and followed up to 6 months of age. They were randomly divided into observation group(n=96)and control group(n=92). The observation group received GMS assessment and intervention once a month, while the control group received regular physical examination and routine guidance intervention. At 6 months of age, Peabody motor function was assessed in all high risk children. Results Peabody motor function assessment results of high risk children at 6 months of age showed that the overall motor development quotient of the observation group was significantly higher than that of the control group(P<0.05). Conclusion The application of GMs assessment in monitoring management of children with high risk can early screen out children with abnormal motor development so as to implement early intervention, improve the follow-up rate, minimize the child disability rate, and improve the physical quality of children.
  • 庞宗林, 尉琳琳. 颅脑MRI和全身运动质量评估对极早产儿的运动发育结局的预测作用[J]. 中国儿童保健杂志, 2018, 26(5): 525-528.
    刘芸, 黄高贵. 全身运动质量评估结果在早产儿超早期康复处置方案指标制定中的应用[J]. 中国康复医学杂志, 2017, 32(2): 223-225.
    鲍秀兰. 0~3岁儿童教育的重要性[J]. 实用儿科临床杂志, 2003, 18(4): 243-244.
    林小苗, 宋雄, 邹林霞, 等. 全身运动质量评估对早产脑损伤高危儿神经发育结局的预测效度[J]. 中国康复医学杂志, 2014, 29(10): 944-947.
    邹林霞, 林小苗, 陈维华, 等. 基于NICU环境的早期干预对早产高危儿神经发育结局的影响[J]. 中国康复, 2017, 32(2): 136-137.
    邓玉环, 孙亚莲, 高丹. 综合管理模式对高危儿随访效果的影响研究[J]. 中国妇幼保健, 2016, 31(12): 2421-2423.
    闫红霞, 沈鹏, 倪仙玉, 等. 早产儿全身运动质量评估等新生儿神经运动发育评估的相关性研究[J]. 中国妇幼健康研究, 2019, 30(8): 919-921.
    魏文新, 闫菲, 曹晓梅, 等. 全身运动质量评估(扭动运动阶段)对高危儿运动发育结局早期预测价值的进一步探讨[J]. 中国小儿急救医学, 2019, 26(12): 912-916.

    EINSPIELER C, PRECHTL H F R, BOS A F, et al. Prechtl's method of general movements in preterm, term and young infants[M]. London: Mac Keith Press, 2004: 5-45.

    ZOU L Y, WANG X, RUAN Y, et al. Preterm birth and neonatal mortality in China in 2011[J]. Int J Gynaecol Obstet, 2014, 127(3): 243-247.

    EINSPIELER C, MARSCHIK P B, PANSY J, et al. The general movement optimality score: a detailed assessment of general movements during preterm and term age[J]. Dev Med Child Neurol, 2016, 58(4): 361-368.

    GOYEN T A, MORGAN C, CROWLE C, et al. Sensitivity and specificity of general movements assessment for detecting cerebral palsy in an Australian context: 2-year outcomes[J]. J Paediatr Child Health, 2020, 56(9): 1414-1418.

    PEINADO-GORLAT P, GÓMEZ DE VALCÁRCEL-SABATER M, GORLAT-SÁNCHEZ B. General movement assessment as a tool for determining the prognosis in infantile cerebral palsy in preterm infants: a systematic review[J]. Rev Neurol, 2020, 71(4): 134-142.

    SANDLE M, SHEPPARD A, FLETCHER A A, et al. Early identification of infants at risk of cerebral palsy: developing the use of general movement assessment in routine clinical practice in a tertiary neonatal unit in New Zealand[J]. N Z Med J, 2020, 133(1514): 63-70.

    杨亚丽, 吴丽, 任麦青, 等. Peabody运动发育量表第2版及其运动训练方案在脑瘫高危儿家庭康复中的应用研究[J]. 中国康复医学杂志, 2017, 32(6): 704-706.
    张九菊, 梁丽霞, 袁志忠, 等. 全身运动评估与Peabody运动发育量表在早产高危患儿精神运动发育迟缓及脑瘫发生中预测价值[J]. 临床军医杂志, 2020, 48(7): 834-835.
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出版历程
  • 收稿日期:  2020-11-15
  • 网络出版日期:  2020-12-29

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