目的:探讨不安运动阶段全身运动质量(General movements,GMs)和新生儿20项行为神经测定(Neonatal behavioral neurological assessment,NBNA)在评估早产儿中枢神经系统发育情况方面的一致性。方法:选取2011年10月~2012年11月在该院出生的早产儿162例,GMs检查在早产儿纠正胎龄足月后9~15周进行,NBNA检查在早产儿纠正胎龄足月后2周进行,一致性检验采用SPSS 17.0统计软件计算Kappa值。结果:GMs评估:150例为正常不安运动,2例为异常性不安运动,10例为不安运动缺乏;NBNA评估:≥36分141例,<36分21例,两种方法的Kappa=0.632。结论:GMs和NBNA在评估早产儿中枢神经系统发育情况方面有着良好的一致性。 Objective: To investigate the consistency of general movements (GMs) and Neonatal behavioral neurological assessment (NBNA) in assessing central nervous system development in premature infants during the restless phase. Methods: Totally 162 preterm infants born in this hospital from October 2011 to November 2012 were selected. The GMs were examined 9 to 15 weeks after the full-term correction of gestational age in preterm infants, and the NBNA was used to correct preterm infants after full-term gestational age 2 weeks, the consistency test using SPSS 17.0 statistical software to calculate Kappa value. Results: The results of GMs assessment: 150 cases of normal disturbed movement, 2 cases of abnormal disturbed movement, 10 cases of lack of movement; NBNA assessment: ≥ 36 points 141 cases, <36 points in 21 cases, Kappa = 0.632. CONCLUSIONS: GMs and NBNA have good agreement in assessing central nervous system development in preterm infants.