婴儿运动表现测试在早产儿运动发育促进性干预中的价值  

Study on the value of the test of infant motor performance in motor development promoting intervention for preterm infants

作　　者：倪钰飞[1] 顾秋燕 杨卫超 凌剑 王飞英[1] 徐小晶[1] NI Yufei;GU Qiuyan;YANGWeichao;LING Jian;WANG Feiying;XU Xiaojing(Nantong Maternal and Child Health Care Hospital,Jiangsu Nantong 226018,China;Nantong Municipal Health Commission,Jiangsu Nantong 226006,China)

机构地区：[1]南通市妇幼保健院,江苏南通226018 [2]南通市卫生健康委员会,江苏南通226006

出　　处：《中国妇幼健康研究》2020年第8期1050-1053,共4页Chinese Journal of Woman and Child Health Research

基　　金：江苏省卫生计生委科研课题(编号:Y2018041)。

摘　　要：目的评价婴儿运动表现测试(TIMP)在早产儿运动发育促进性干预中的价值。方法选取南通市妇幼保健院门诊就诊的早产儿共139例作为研究对象,其中2017年5月至12月就诊的68例早产儿进入对照组,2018年1月至6月就诊的71例早产儿进入试验组。对照组采取传统的早期干预模式,试验组根据TIMP结果针对性地指导早期干预,两组早产儿均接受常规的体格检查、Gesell发育量表测试、TIMP和3个月定期随访。结果两组在性别、矫正年龄、出生体重、出生身长、出生头围、孕母年龄和剖宫产比例上差异均无统计学意义(均P>0.05);干预前两组在婴儿TIMP和Gesell发育量表各能区结果均无统计学差异(均P>0.05);早期干预3个月后,试验组Gesell发育量表的大运动、精细运动得分显著高于对照组(t值分别为3.147、3.156,均P<0.05),在语言、个人社交和适应性方面比较差异无统计学意义(均P>0.05),干预3个月后试验组TIMP结果得分显著高于对照组,差异有统计学意义(t=1.074,P<0.05)。结论 TIMP在早产儿的运动发育促进性干预中具有指导性的作用。Objective To evaluate the value of the test of infant motor performance(TIMP) on motor development promoting intervention for preterm infants.Methods All the 139 preterm infants from the outpatient of Nantong Maternal and Child Health Care Hospital were selected as the research object,of which 68 preterm infants from May 2017 to December 2017 entered the control group,and 71 preterm infants from January 2018 to June 2018 entered the experimental group.The control group applied the traditional early intervention,and the experimental group apply the early intervention based on the results of TIMP.Both of the two groups received a physical examination,Gesell development scale test,TIMP and 3 months regular follow-up.Results There was no significant difference between the two groups in gender,correction age,birth weight,birth length,birth head circumference,maternal age and cesarean section ratio(all P>0.05).Before early intervention,there was no statistically significant difference in the results of TIMP and Gesell development scale between the two groups(both P>0.05).After 3 months early intervention,the developmental quotient of gross motor and fine motor in Gesell development scale in experimental group were significantly higher than those of the control group(t=3.147 and 3.156,respectively,both P<0.05),but there was no statistically significant difference between the two group in the developmental quotient of language,social contact and adaptation(all P>0.05).After 3 months early intervention,the score of TIMP in experimental group was significantly higher than that of the control group(t=1.074,P<0.05).Conclusion The TIMP has a guiding role in the motor development promoting intervention for preterm infants.

关 键 词：婴儿运动表现测试 早产儿 早期干预 运动发育 

分 类 号：R722.6[医药卫生—儿科]