Abstract:

Pediatric professionals are facing two challenges when following up the preterm and young infants. One of the challenges is to identify those infants at high risk of neurodevelopmental disorders as early as possible and provide intervention for them. Another one is to identify the infants with normal developmental outcomes to avoid excessive diagnosis and intervention. In resent years，the general movements assessment has been widely used at home and abroad to predict the developmental outcomes of  high risk infants with its high sensitivity and specificity，especially for cerebral palsy. It is suitable for application in the basic maternal and child health care institutions and the pediatric clinics at various levels in China. This paper describes the results of clinical studies of general movements assessment at home and abroad as well as its clinical experience in China.

Key words: general movements assessment, GMs, preterm, assessment, cerebral palsy

摘要：

在早产儿和小婴儿的脑发育随访中，儿科专业人员需要面临两大挑战。一方面应尽早识别出那些处于神经发育伤残高风险的早产儿及小婴儿，以及时开展康复干预；另一方面需要尽早识别出那些不会有神经发育后遗症的小婴儿，以避免不必要的过度诊断和过度干预。全身运动评估是近年来国内外广泛应用的一种高敏感性和高特异性的评估方法，用于超早期预测新生小婴儿的神经发育结局（特别是脑瘫），适于在我国基层妇幼保健和各级儿科诊疗机构内应用。文章介绍了全身运动评估在国内外的临床研究成果，以及在我国的临床应用经验。

关键词: 全身运动评估, 全身运动, 早产, 评估, 脑性瘫痪