高危儿早期神经学评估方法

随着我国新生儿救治水平的提升,高危儿存活率明显提高。早期识别高危儿并进行早期干预,可以明显改善其预后,所以选择信度和效度良好的评估方法非常重要。目前国内常用的高危儿早期神经学检查方法主要有全身运动质量评估(GMs)、婴儿运动能力测试(TIMP)、Hammersmith婴儿神经检查(HINE)、新生儿行为神经测定(NBNA)、0～1岁20项神经运动检查、Vojta姿势反射检查、Peabody运动发育量表(PDMS),在国外婴儿运动发育量表(IMP)、Harris婴儿神经运动测试(HINT)应用亦较多。本文将对这几种神经学评估方法加以综述。

Review on the early neurological assessment of high-risk infants

With the improvement of neonatal treatment in China,the survival rate of high-risk infants has been significantly increased. Early identification of high-risk infants and early intervention can significantly improve the prognosis.It is very important to select an assessment tool with good reliability and validity. At present,early neurological assessment methods of domestic high-risk infants mainly include General Movements(GMs),Test of Infant Motor Performance(TIMP),Hammersmith Infant Neurological Examination(HINE),Neonatal Behavioral Neurological Assessment(NBNA),the 20 items neuromotor assessment from birth to 1 year old,Vojta posture reflex examination,Peabody Developmental Motor Scale(PDMS). Infant Motor Profile(IMP) and Harris Infant Neuromotor Test(HINT) are also used at abroad. In this paper,these neurological assessment tools will be reviewed.