中文版HINE量表在脑瘫高危儿筛查中的信度以及效度分析

doi:10.3969/j.issn.1671-7171.2025.10.025

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1211 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要【目的】探讨中文版婴儿神经病学检查量表(HINE)在脑瘫高危儿筛查中的信度以及效度。【方法】选取2018年6月至2020年6月福建医科大学附属泉州市第一医院收治的55例脑瘫高危儿(观察组),选择同期在本院进行健康体检的35例正常婴儿(对照组),应用中文版HINE开展问卷调查,并利用主成因分析法对该量表进行信度与效度进行检验,比较两组中文版HINE评分。【结果】观察组与对照组出生体重、胎龄、性别、HINE筛查年龄、早产及足月占比比较,差异无统计学意义(P>0.05)。观察组神经功能、运动、姿势、肌张力、反射反应评分及总分均低于对照组,差异有统计学意义(P<0.05)。中文版HINE内容效度指数均大于0.957,中文版HINE总分内容信度系数为0.792,5个项目内容信度系数为0.786~0.898,量表总分相关重测信度系数为0.962,5个项目评分相关重测信度系数为0.945~0.994(P<0.05)。【结论】中文版HINE具有较高的信度以及效度,可用于脑瘫高危儿的早期筛查,值得临床推广。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	谢春珍
	张雅迪
	刘丽玉

关键词 ：脑性瘫痪, 儿童, 普查, 结果可重复性

Abstract：【Objective】To explore the reliability and validity of the Chinese version of the Hammersmith Infant Neurological Examination (HINE) Scale in the screening of high-risk infants for cerebral palsy. 【Methods】A total of 55 high-risk infants with cerebral palsy (the observation group) admitted to the pediatric department of Quanzhou First Hospital Affiliated to Fujian Medical University from June 2018 to June 2020 were selected, and 35 normal infants who underwent physical examination in our hospital during the same period were selected as the control group. The Chinese version of HINE was used to conduct a questionnaire survey, and the principal component analysis method was applied to test the reliability and validity of the scale. The scores of the Chinese version of HINE between the two groups were compared. 【Results】There were no statistically significant differences in birth weight, gestational age, gender, HINE screening age, and the proportion of premature and full-term infants between the observation group and the control group (P>0.05). The scores of neurological function, movement, posture, muscle tone, reflex response and total score in the observation group were all lower than those in the control group, with statistically significant differences (P<0.05). The content validity index of the Chinese version of HINE was all greater than 0.957, the content reliability coefficient of the total score of the Chinese version of HINE was 0.792, and the content reliability coefficients of the 5 items ranged from 0.786 to 0.898. The test-retest reliability coefficient related to the total score of the scale was 0.962, and the test-retest reliability coefficients related to the scores of the 5 items ranged from 0.945 to 0.994 (P<0.05). 【Conclusion】The Chinese version of HINE has high reliability and validity, which can be used for the early screening of high-risk infants with cerebral palsy and is worthy of clinical promotion.

Key words： Cerebral Palsy Child Mass Screening Reproducibility of Results

收稿日期: 2024-03-15

中图分类号:

R742.3

引用本文:

谢春珍, 张雅迪, 刘丽玉. 中文版HINE量表在脑瘫高危儿筛查中的信度以及效度分析[J]. 医学临床研究, 2025, 42(10): 1767-1769.
XIE Chunzhen, ZHANG Yadi, LIU Liyu. Reliability and Validity Analysis of the Chinese Version of HINE Scale in the Screening of High-Risk Infants for Cerebral Palsy. JOURNAL OF CLINICAL RESEARCH, 2025, 42(10): 1767-1769.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.10.025 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I10/1767

[1] 赵凯怡,赖珊珊,卢巧亚,等.婴儿神经学检查联合头颅MRI检测对脑瘫高危儿不良神经发育的预测价值[J].中华物理医学与康复杂志,2024,46(4):342-346.
[2] 田巍巍,朱敏,张跃,等.Hammersmith婴儿神经学检查在高危儿粗大运动发育随访中的应用研究[J].中华物理医学与康复杂志,2022,44(9):795-799.
[3] 刘娟.脑瘫高危儿早期筛查及干预分析[J].医学信息,2015,28(40):103.
[4] 尤玉慧.0~6月龄脑瘫高危儿的早期筛查和干预[D].温州:温州医学院,2011.
[5] 申亚丽,张雨平.婴儿运动表现测试及其在婴儿早期发育相关疾病中的应用研究进展[J].国际儿科学杂志,2024,51(10):699-703.
[6] 牛荻,马京华,杨凤娟,等.早产儿神经发育相关评估工具的研究进展[J].中国优生与遗传杂志,2025,33(2):450-455.
[7] ROMEO D M, VELLI C, SINI F, et al. Neurological assessment tool for screening infants during the first year after birth: the Brief‐Hammersmith Infant Neurological Examination[J].Dev Med Child Neurol,2024, 66(9): 1173-1180.
[8] ROMEO D M, APICELLA M, VELLI C, et al. Hammersmith Infant Neurological Examination in low-risk infants born very preterm: a longitudinal prospective study[J].Dev Med Child Neurol,2022, 64(7): 863-870.
[9] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,中国医师协会康复医师分会儿童康复专业委员会,等.中国脑性瘫痪康复指南(2022)第二章:脑性瘫痪高危儿的评定与干预[J].中华实用儿科临床杂志,2022,37(13):974-982.
[10] ROMEO D M, COWAN F M, HAATAJA L, et al. Hammersmith Infant Neurological Examination for infants born preterm: predicting outcomes other than cerebral palsy[J].Dev Med Child Neurol,2021, 63(8): 939-946.
[11] ADIGÜZEL H, SARIKABADAYI Y Ü, APAYDIN U, et al. Turkish validity and reliability of the Hammersmith infant neurological examination (HINE) with high-risk infant group: a preliminary study[J].Turk Arch Pediatr,2022, 57(2): 151.
[12] 崔红.早产儿需要警惕痉挛型脑瘫[J].中国儿童保健杂志,2023,31(11):1165-1167.
[13] 申家建,单玲,贾飞勇,等.3～6月龄婴儿Hammersmith婴儿神经检查最优评分影响因素分析[J].中国儿童保健杂志,2022,30(6):677-679.
[14] PIETRUSZEWSKI L, MOORE-CLINGENPEEL M, MOELLERING G C J, et al. Predictive value of the test of infant motor performance and the Hammersmith infant neurological examination for cerebral palsy in infants[J].Early Hum Devel,2022, 174: 105665.
[15] 李少莉,李文艳,刘淑芳,等.基于微视频的情景模拟游戏对脑瘫患儿生活质量的影响[J].医学临床研究,2023,40(11):1781-1783.
[16] 张静丽,任蓉,候梅,等.学龄前脑性瘫痪儿童共患癫痫的临床特征和危险因素分析[J].中华物理医学与康复杂志,2024,46(8):716-721.
[17] KAPIL N, MAJMUDAR-SHETH B, JOHNSON T. Hammersmith infant neurological examination subscores are predictive of cerebral palsy[J].Pediatr Neurol,2024, 151: 84-89.