Objective Clinical study of the predictive validity of the neural development outcome of the low weight high risk infants in Kunshan by general movements assessment technology.Methods92 cases of low birth weight infants at high risk of Kunshan in June 2013~June2014 was born as the research object, were recorded for general movements assessment (GMs).Folow up to 1 years of age and a clear neurological outcome, Peabody Developmental Movement scale-2 (PDMS-2) was used to evaluate if existing development movement abnormalities or not, and calculate sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV).Results The results of quality evaluation of general movements showed that during prematurebirth and writhing movements periods,62 normal infants and 30 abnormal infants were found,the sensitivity, specificity,positive predictive value and negative predictive value were 88.89%,77.33%,43.33% and 93.55%,respectively; during fidgety movements period,169 normal infants and 28 abnormal infants were found,the sensitivity,specificity,positive predictive value and negative predictive value were 94.12%,94.67%,80.0% and 98.61%,respectively.The Kappa values of them were 0.42 and 0.83 respectively.Conclusion GMs prediction accuracy and sensitivity of low birth weight neurological development in high risk infants are higher, can be applied to the rehabilitation work and neonatal folow-up work.%目的：以全身运动评估技术对昆山市低体重高危儿神经发育结局预测效度进行临床研究。方法选择昆山2013年6月~2014年6月出生的92例低体重高危儿为研究对象，均记录全身运动评估（GMs）。随访至纠正年龄1周岁以上明确神经学发育结局，采取Peabody运动发育量表（PDMS-2）确定是否存在运动发育异常，并计算敏感度、特异度、阳性预测值和阴性预测值。结果扭动运动阶段：正常者62例，异常者30例，敏感度88.89%、特异度77.33%、阳性预测值43.33%、阴性预测值93.55%；不安运动阶段：正常者72例，异常者20例，敏感度94.12%、特异度94.67%、阳性预测值80.0%、阴性预测值98.61%。二者的Kappa 值分别为0.42和0.83。结论GMs评估预测低体重高危儿神经发育结局的准确性及敏感性都较高，可运用到康复工作及新生儿随访工作中。
展开▼
