Limperopoulos C, Majnemer A, Rosenblatt B, Shevell M I, Rohlicek C, Tchervenkov C
School of Physical and Occupational Therapy, Department of Neurology, McGill University, Montreal, Quebec, Canada.
Pediatr Rehabil. 1997 Jan-Mar;1(1):9-14. doi: 10.3109/17518429709060936.
The degree of agreement between the neonatal neurological examination and a standardized neurobehavioural assessment was investigated in a group of 32 newborns with congenital heart defects. A paediatric neurologist performed a neurological examination, and an occupational therapist administered the Einstein Neonatal Neurobehavioural Assessment Scale on all subjects. Both examiners independently evaluated each subject, and were blinded to the diagnosis, to perinatal status and to each other's clinical findings. Statistical analysis demonstrated a significant association between the overall impression between both examiners (p < .0001), with a crude agreement of 96.9%. Sixteen neonates were determined to be normal and 15 abnormal by both examiners, with disagreement in only one subject. Although two distinct approaches were employed in the neurological assessment of high-risk newborns, both assessments evaluate the maturity and integrity of the immature central nervous system. The results demonstrate a strong agreement between these two approaches, suggesting that the neonatal neurological examination is consistent and valid.
在一组32名患有先天性心脏病的新生儿中，研究了新生儿神经学检查与标准化神经行为评估之间的一致性程度。一名儿科神经科医生进行了神经学检查，一名职业治疗师对所有受试者进行了爱因斯坦新生儿神经行为评估量表测试。两位检查者独立评估每个受试者，并且对诊断、围产期状况以及彼此的临床发现均不知情。统计分析表明，两位检查者的总体印象之间存在显著关联（p < .0001），粗略一致性为96.9%。两位检查者均判定16名新生儿正常，15名异常，仅在一名受试者上存在分歧。尽管在高危新生儿的神经学评估中采用了两种不同的方法，但两种评估均评估了未成熟中枢神经系统的成熟度和完整性。结果表明这两种方法之间具有很强的一致性，表明新生儿神经学检查是一致且有效的。
