Volume 21 Issue 10
Oct.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(10): 1706-1709
ZHOU Yan, CAI Hefei, TANG Xinglu. Application value of HINE combined with skull Gesell in early recognition of high risk infants with cerebral palsy[J]. Chinese Journal of General Practice, 2023, 21(10): 1706-1709. doi: 10.16766/j.cnki.issn.1674-4152.003206
Citation: ZHOU Yan, CAI Hefei, TANG Xinglu. Application value of HINE combined with skull Gesell in early recognition of high risk infants with cerebral palsy[J]. Chinese Journal of General Practice, 2023, 21(10): 1706-1709. doi: 10.16766/j.cnki.issn.1674-4152.003206
shu

Application value of HINE combined with skull Gesell in early recognition of high risk infants with cerebral palsy

doi: 10.16766/j.cnki.issn.1674-4152.003206
  • 1.

    Department of Children's Rehabilitation, Taizhou Women's and Children's Hospital, Taizhou, Zhejiang 318001, China

Funds:

 2020KY640

  • Received Date: 2023-02-06
    Available Online: 2023-11-23
    Abstract
  •   Objective  The combined application of the Hammersmith infant neurological examination scale (HINE) and the Gesell developmental scale in early screening of high-risk infants with cerebral palsy aims to develop a more comprehensive and efficient early screening plan.  Methods  Select Taizhou Women's and Children's Hospital and Taizhou Central Hospital to study 80 high-risk children with cerebral palsy from October 2020 to December 2021; another 50 healthy infants and young children in the same period were selected as the control group. To compare the scores of the HINE scale and the Gesell developmental scale scores between high-risk infants with cerebral palsy and healthy infants; to analyze the early recognition value of HINE combined with Gesell developmental scale in high-risk infants with cerebral palsy.  Results  The high-risk cerebral palsy group had lower scores in cranial nerves [(12.94±1.81) points], motor [(4.59±1.04) points], posture [(15.91±1.86) points], reflexes and reactions [(12.91±1.94) points], muscle tone [(21.38±2.73) points] and total scale score [(67.71±8.61) points] compared to the control group [(13.62±1.11) points, (5.32±0.62) points, (16.78±1.25) points, (13.96±1.12) points, (23.30±0.88) points, and (72.98±3.36) points], the differences were statistically significant (all P < 0.05). The DQ scores of reaction, fine motor, gross motor, and response were lower in the high-risk cerebral palsy group than control group (all P < 0.05); while the DQ values of language in the high-risk cerebral palsy group had no statistical significance (P>0.05). By receiver operating characteristic analysis, the sensitivity (96.3%) and specificity (96.0%) of HINE combined with Gesell scale for early prediction of high risk infants with cerebral palsy were higher than those of HINE scale (86.3%, 70.0%), Gesell scale (87.5%, 58.0%, P < 0.05).  Conclusion  HINE combined with the Gesell Scales of Brain Development is of great value in the early recognition of high-risk infants with cerebral palsy and can improve the diagnostic sensitivity and specificity.

     

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