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目的对闵行区建立的社区卫生服务中心、闵行区妇幼保健院、复旦大学附属儿科医院三位一体高危儿全身运动(general movements,GMs)评估网络的效果进行评价。方法利用闵行区区域卫生信息平台开发应用模块,统一收集GMs评估数据。结果 5年间GMs评估技术为闵行区11 710名高危儿童进行了GMs评估,评估覆盖率从19.39%上升到了80.58%。扭动运动阶段和不安运动阶段的异常结果平均发现率相接近(0.37%、0.57%),两者差异无统计学意义,而可疑结果平均发现率(25.49%、2.4%)差异有统计学意义。5年间不安运动阶段的康复干预率从13.04%上升到53.26%,扭动运动阶段的康复干预率低于不安运动阶段。结论通过社区卫生服务中心、闵行区妇幼保健院、复旦大学附属儿科医院三位一体建立的高危儿GMs评估工作网络促进了社区婴幼儿神经运动行为发育早期筛检、干预工作。
Objective To evaluate the effects of the network of general movements (GMs) assessed by community health service centers established in Minhang District, MCH and Minhang Hospital of Pediatric Hospital of Minhang District. Methods Minhang District Regional Health Information Platform development and application of modules, unified collection of GMs assessment data. Results GMs assessment of 11 710 high-risk children in Minhang district was conducted in the past five years. The assessment coverage rate increased from 19.39% to 80.58%. There was no significant difference between the two groups (0.37%, 0.57%), while the average detection rate of suspicious findings (25.49%, 2.4%) was statistically significant . The rate of rehabilitation intervention in unease movement increased from 13.04% to 53.26% in five years, and the rehabilitation intervention rate in wrest movement was lower than that in restless movement. Conclusion The network of high risk children GMs assessment network established by Community Health Service Center, Minhang District Maternal and Child Health Hospital and Pediatric Hospital affiliated to Fudan University promoted the early screening and intervention of infant neurogenesis in infants and young children.