医院干预对全身运动质量评估异常高危儿的影响  

Effects of hospital intervention on high-risk infants with abnormal general movement quality assessment

作　　者：马宗艳[1] 刁颖颖 王存娟[1] 陈建贵[1] 岳保珠[1] MA Zongyan;DIAO Yingying;WANG Cunjuan;CHEN Jiangui;YUE Baozhu(Department of Children’Rehabilitation of W.F.Maternal and Child Health Hospital,Weifang,261011 Shandong,China;Department of Pediatrics Teaching and Research Section of Weifang Medical University)

机构地区：[1]潍坊市妇幼保健院儿童康复科,山东潍坊261011 [2]潍坊医学院儿科教研室

出　　处：《中国民康医学》2019年第12期5-7,共3页Medical Journal of Chinese People’s Health

基　　金：山东省潍坊市科学技术发展计划项目(2017YX076)

摘　　要：目的:观察医院干预对全身运动(GMs)质量评估异常高危儿的影响。方法:选取75例GMs质量评估异常的高危儿,按医院干预时期不同分为观察组(n=39)和对照组(n=36),观察组予早期医院干预,对照组予晚期医院干预。分别在纠正月龄6、9、12、18个月时,比较两组Peabody运动发育量表中粗大运动、精细运动评分情况。结果:两组在纠正月龄6、9、12、18个月时,观察组粗大运动、精细运动评分均高于对照组,差异有统计学意义(P<0.05)。重复测量方差分析发现,两组粗大运动、精细运动评分的组间效应、时间效应差异有统计学意义(P<0.05);两组粗大运动、精细运动评分的干预因素与时间因素存在交互作用(P<0.05)。结论:GMs质量评估异常高危儿应及早给予医院干预,有利于改善患儿预后;GMs质量评估对高危儿医院干预的时机具有指导作用。Objective: To observe effects of hospital intervention on high-risk infants with abnormal general movement(GM)quality assessment.Methods:75 high-risk infants with abnormal GM quality assessment were selected and divided into observation group(early intervention,n=39)and control group(late intervention,n=36)according to the hospital intervention periods.6,9,12 and 18 months after the correction,the gross and fine motor scores of the two groups of Peabody development motor scale were compared.Results:The gross and fine motor scores of the observation group were higher than those of the control group 6,9,12,and 18 months after the correction,and the differences were statistically significant(P<0.05).Repeated measures analysis of variance found that there were significant differences in the inter-group effects and time effects between the two groups of the gross and fine motor scores(P<0.05).Further,there were interactions among the intervention factors of the gross and fine motor scores and the time factors(P<0.05).Conclusions:Early intervention should be given to the high-risk infants with abnormal GM quality assessment,which is beneficial to the improvement of prognosis.Therefore,GMs quality assessment plays a guiding role in the timing of hospital intervention for the high-risk infants.

关 键 词：高危儿 医院干预 全身运动 

分 类 号：R493[医药卫生—康复医学]