【摘要】 【目的】　探讨新生儿行为评估对脑性瘫痪的早期诊断价值。　【方法】　对有围生期窒息的脑瘫和非脑瘫儿各 32例的新生儿行为神经测定 (NBNA)、新生儿自发性全身运动 (GMs)和随访至 1岁的神经运动发展水平进行回顾性研究 ,并分析NBNA和GMs评分与神经运动发展的关系。　【结果】　新生儿期 ,脑瘫组NBNA 3、7、14日龄的评分和GMs评分低于非脑瘫组 ;3、6、12月龄时 ,评估神经运动发展水平的各随访项目的评分和总分亦低于非脑瘫组 ,且年龄越大差异越明显。此外 ,两组儿童的NBNA 14日龄时的总分和GMs的评分与 3、6、12月龄的神经运动发展水平的总分均有极密切的关系 ,脑瘫组r为 0 .44～ 0 .6 5和 0 .38～ 0 .5 7,非脑瘫组r为 0 .5 1～ 0 .6 6和 0 .47～ 0 .5 3。　【结论】　新生儿行为评估可预测窒息儿的神经运动发展结果 ,对脑瘫的早期诊断有重要的价值。更多还原

【Abstract】 To investigate the early diagnostic value of neonatal behavioral assessment on cerebral palsy in thenewboors with perinatal asphyxia. Neonatal Behavioral Neurological Assessment(NBNA),Spontaneous General Movement(GMs) and the developmental levels of neurological movement followed up for one year were investigated by a review among 32 children with cerebral palsy and 32 children with non cerebral palsy who had perinatal asphyxia.The relation of the development of neurological movement betweenNBNA and GMs were analysed. The scores of NBNA at the age of 3,7 and 14days and GMs in group with cerebral palsy were lower than those in group with non cerebral palsy during the neonate.The scores of each of the items on developmental level of neurological movement followed and the total scores also fell behind that of the group with non cerebral palsy at the age of 3,6 and 12 months.And the more was the age,the more was the difference.In addition,the total of score NBNA at the age of 14 day and the score of GMs have a very close relationship with the total scores of the developmental levels of neurological movement atthe age of 3,6 and 12 months in two groups.The correlation coefficients were 0.44 to 0.65 and 0.38 to 0.57 in the group with cerebral palsy and 0.51 to 0.66 and0.47 to 0.53 in the group with non cerebral palsy. [Conclusions] The neonatal behavioral assessment maypredicate the results of development of neurological movement in the children with prinatal asphyxia.It is very important value for the early diagnosis of cerebral palsy.更多还原