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【目的】分析全身运动(general movements,GMs)质量评估的直接法和录像法的信度,并探讨其临床意义。【方法】研究对象为在本院进行神经发育随访的高危新生儿和小婴儿,采用GMs录像评估法(简称录像法)和GMs直接评估法(简称直接法)进行GMs质量评估,分析录像法和直接法的信度。【结果】录像法评估者间信度ICC值为0.78~0.83,录像法重测信度为0.68~0.90,直接法评估者间信度为0.78~0.85,直接法和录像法的重测信度为0.87~0.90(P<0.05)。【结论】GMs质量评估的录像法和直接法具有较好的稳定性,在临床上引入直接法,并和录像法有机结合,将进一步发挥GMs质量评估的简便快速的优势,适于在我国儿科临床推广应用。
【OBJECTIVE】 To analyze the reliability of the direct assessment of the general movements (GMs) and the reliability of the video recording method, and to explore its clinical significance. 【Methods】 The subjects were high-risk neonates and infants who were followed up for neurodevelopment in our hospital. The quality of GMs was evaluated by GMs video recording method and direct GMs evaluation method (referred to as direct method) The credibility of the direct method. 【Results】 The ICC values of inter-rater reliability were between 0.78 and 0.83, the test-retest reliability was between 0.68 and 0.90, and the interobserver reliability was between 0.78 and 0.85. The test-retest reliability of direct method and video method Was 0.87 ~ 0.90 (P <0.05). 【Conclusion】 The video and direct methods of GMs quality assessment have good stability. Introducing the direct method in clinical practice and organically combining with video recording method will further exert the simple and quick advantage of GMs quality assessment, Clinical application.