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目的:评价52项神经运动检查法早期筛查脑瘫患儿的效果。方法:对2004年1月～2006年9月建卡管理的860名儿童,在生后2月龄、5月龄分别作52项神经运动检查。若在检查时发现可疑脑瘫患儿(其中2项以上检查结果异常)可严密观察并预约在1个月后复查,持续异常者转专科医院确诊;若多项检查结果异常,则即刻转专科医院做进一步诊治。结果:用此方法共发现7例可疑患儿,其中确诊脑瘫5例,另外2例,1例患儿为一过性运动发育落后,1例总体发育水平欠佳。筛查的阳性可靠率71.4%,脑瘫的发病率5.8‰。结论:52项神经运动检查是一种早期发现脑瘫患儿的较好方法,有助于脑瘫的早期诊断,早期治疗,可极大限度地降低残疾程度。
PURPOSE: To evaluate the effectiveness of 52 neuropsychological tests in the early screening of children with cerebral palsy. Methods: From January 2004 to September 2006, 860 children under card management were inspected for 52 neuromuscular events at 2 and 5 months of life respectively. If found in the examination suspicious cerebral palsy children (2 of the above test results were abnormal) can be closely observed and scheduled to be reviewed after 1 month, continued abnormalities were transferred to the specialist hospital diagnosed; if a number of abnormal results, then immediately transferred to the Specialist Hospital Do further diagnosis and treatment. Results: A total of 7 suspicious children were diagnosed by this method. Among them, 5 cases were diagnosed as cerebral palsy, 2 cases were diagnosed as cerebral palsy, 1 case had transient motor development and 1 case had poor overall development. Positive screening rate of 71.4% positive, the incidence of cerebral palsy 5.8 ‰. Conclusion: 52 neuromuscular examination is a good method for early detection of cerebral palsy. It is helpful for the early diagnosis and early treatment of cerebral palsy, and can greatly reduce the degree of disability.