【摘要】 目的　研究“高危儿脑损伤筛查法”对早期发现婴儿脑损伤的应用价值。　方法　对 5 0例高危儿筛查异常儿和 90例正常儿进行脑损伤临床诊断 ,考察高危儿筛查的诊断符合率 ;对 3 0例高危儿用双盲法考察其一致性。　结果　高危儿筛查 72 4例 ,异常 5 0例 ,筛查异常率 6.91% ;5 0例筛查异常儿经临床诊断为脑损伤 45例 ,筛查与诊断符合率90 .0 % ;90例筛查正常儿中 ,临床诊断脑损伤 1例 (中枢性运动功能障碍 )。高危儿筛查灵敏度 97.83 % ,特异度 94.68% ;对 3 0例高危儿作双盲法一致性检查 ,一致性为 90 .0 %。　结论　高危儿脑损伤筛查法可用于从高危儿人群中筛查脑损伤患儿 ,具有可靠性高、费时少、技术操作简单、检查器材易得的优点 ,适用于儿童保健和儿科门诊应用 ,是一种早期发现婴儿脑损伤的适宜技术 ,有推广应用价值更多还原

【Abstract】 Objective To study“screening examination of high risk infants” for early diagnosis of brain trauma in infants. Methods 50 abnormali high risk infants from screening examination and 90 normal infants were progressed clinical diagnosis of brain trauma.The coherence rate of screening examination was checked. Double blind method was adopted to 30 high risk infants. Result 50 cases were screened in 724 high risk infants. The abnormity rate in high risk screening examination was 6.9%. 45 infants were clinically diagnosed as brain trauma in 50 cases with abnormity of high risk in screening examination. The coherence rate between screening and clinical diagnosing is 90.0%.1 case with brain trauma(central movement function obstacle)was found from 90 normal cases of screening examination. The sensitivity of the screening examination of high risk infants was 97.83%. The specificity was 94.68%, the consistency was 90.0%. Conclusion The screening examination for brain trauma infants from high risk children is effective. It has many excellence,such as high dependability, simple and time-saving. This method is especially applicable in paediatric health clinic.更多还原