GMs结合头颅B超对新生儿脑功能评估的效果分析

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[Abstract] Objective： To investigate the effectiveness of combining general movements （GMs） assessment with cranial ultrasound in evaluating neonatal brain function.Method： During the study period from September 2023 toApril2O24，104 neonateswere enrolledat Hospital.Allneonates underwent cranial ultrasound within the first month of life GMs assessment at ages of 1 3 months. Clinical diagnoses were used to evaluate brain developmental outcomes at age of6months.The effectiveness of GMs combined with cranial ultrasound in assessing neonatal brain function was analyzed.Result：Among the 104 participants，81 cases （77.88 % ）were developmentally normal，while 20 cases （19.23 % ）were diagnosed with developmental delay 3 cases （2.88 % ） with cerebral palsy.The GMs assessment results showed that the normal rate was 64.42% in the twisting movement stage 71.15 % in the restless movement stage. Some children patients presented with abnormal postures or limited motorquality.Cranial ultrasound revealed no significantabnormalities in77.88%of the neonates.Thecombinationof bothassessmentsdemonstratedahighpredictive value forneonatal brain development outcomes （AUC of O.971，sensitivity of 95.7% ， specificity of 100% ）. Conclusion：The integrationofGMsassessment with cranial ultrasound efectivelyevaluates neonatal brain function hasa high predictivevalue，accurately identifyingrisksfordevelopmental normalcy，developmentaldelay，cerebralpalsy.

[Keywords] General movements Cranial ultrasound Neonates Brain function Developmental outcomes

First-author'saddres：Departmentof Neonatology， Hospital， 342500，China doi： 10.3969/j.issn.1674-4985.2025.22.039

新生儿期是脑发育的关键阶段，脑功能障碍可能导致一系列严重后果，如智力发育迟缓、运动障① 瑞金市妇幼保健院新生儿科江西瑞金342500② 瑞金市妇幼保健院儿童保健科江西瑞金 342500③ 瑞金市妇幼保健院儿童康复科江西瑞金 342500通信作者：曾小金

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