目的探讨高危新生儿扭动运动阶段与婴儿痉挛的相关性,为临床诊治提供有效参考。方法对178例在康复科随访的高危新生儿,在扭动运动阶段进行全身运动质量评估,在12月龄(纠正年龄)后对于发生婴儿痉挛的患儿进行统计分析。结果扭动运动阶段痉挛-同步性运动对于婴儿痉挛有预测性。运动形式具有痉挛同步运动特征的患儿的婴儿痉挛的发病率与单调性全身运动的婴儿相比差异有统计学意义(P<0.01)。痉挛-同步性运动对于婴儿痉挛的预测敏感度90.9%,特异度96.8%,阳性预测值80%,阴性预测值98.7%。结论扭动运动阶段痉挛-同步性运动对于婴儿痉挛有一定的预测价值,该种运动形式的患儿,应定期进行动态脑电图检查。 Objective To investigate the correlation between high-risk neonatal twisting movements and infantile spasms and to provide an effective reference for clinical diagnosis and treatment. Methods A total of 178 high-risk neonates who were followed up in the rehabilitation department were evaluated for their whole-body exercise quality during the twisting phase. Statistical analysis was performed on children with spasticity after 12 months of age (corrected age). Results Twisting Phase Spasticity - Synchronous exercise is predictive of infant spasticity. The incidence of infantile spasms in children with exercise-induced synchronous movement of spasticity was significantly different from that of children with monotonous generalized exercise (P <0.01). Convulsions - Synchronous exercise for the prediction of infant spasticity sensitivity 90.9%, specificity 96.8%, positive predictive value 80%, negative predictive value 98.7%. Conclusions Spasticity during spastic movement - Synchronous exercise has some predictive value for infantile spasms. Children with this type of exercise should undergo dynamic EEG examination regularly.