高危儿全身运动质量危险因素的回归分析  

Regression analysis of the risk factors influencing the quality of general movements in high-risk infants

作　　者：柏丹丹 申飞飞[1] 索桂海[1] 郑玉芹[1] 李海英 吴尤佳[1] Bai Dandan;Shen Feifei;Suo Guihai;Zheng Yuqin;Li Haiying;Wu Youjia(Department of pediatrics,affiliated hospital of Nantong University,Nantong,Jiangsu,226000,China)

机构地区：[1]南通大学附属医院儿科,江苏南通226000

出　　处：《齐齐哈尔医学院学报》2023年第7期606-610,共5页Journal of Qiqihar Medical University

基　　金：江苏省妇幼健康科研项目(FYX202125);第三周期江苏省妇幼健康重点人才(2021-2023);南通市226人才计划,南通市科技计划项目(MS22020002、JCZ21004);南通市卫健委项目(MB2021001、MB2021002、QA2019059)。

摘　　要：目的 分析探究影响高危儿全身运动质量的危险因素分析,进而进行早期干预,促进儿童的神经发育。方法 选择2020年1—12月本院新生儿室住院治疗的高危儿88例作为研究对象,所有患儿均完成了GMs扭动阶段和不安运动阶段评估,最终采用非参数检验Mann-Whitney U检验、单因素分析、二元Logistic回归分析确定影响GMs质量的危险因素。结果 Logistic回归分析显示:扭动阶段有统计学意义的危险因素是新生儿缺氧缺血性脑病(Hypoxic ischemic encephalopathy, HIE)(OR=5.735,95%CI:1.032-31.855)、颅内出血(OR=8.278,95%CI:1.853-36.982)、新生儿低血糖症(OR=5.265,95%CI:1.219-22.746),影响扭动阶段异常程度的有统计学意义的危险因素是HIE(OR=15.566,95%CI:1.349-179.59),不安运动阶段有统计学意义的危险因素是新生儿窒息(OR=4.289,95%CI:1.114-16.519)。结论 HIE、颅内出血、新生儿低血糖症、新生儿窒息是影响高危儿全身运动质量的危险因素,对存在上述危险因素的高危儿进行早期识别和早期干预。Objective To analyze the risk factors influencing the quality of general movements(GMs)in high-risk infants,in order to be early intervention and improve neuro-development outcomes.Methods A total of 88 high-risk infants who were receiving hospitalized treatments in neonatal ward of the hospital during January and December 2020 were selected as study subjects.All the infants received the general movements assessment in the stage of writhing movements and fidgety movements.The risk factors for the quality of GMs in high-risk infants were analyzed by Mann-Whitney U test,single factor analysis and binary logistic analysis.Results Binary logistic analysis revealed that the factors significantly associated with the quality of GMs in the stage of writhing movements were hypoxic ischemic encephalopathy(HIE)(OR=5.735,95%CI:1.032-31.855),intracranial bleeding(OR=8.278,95%CI:1.853-36.982),neonatal hypoglycemia(OR=5.265,95%CI:1.219-22.746).The factors significantly associated with the abnormal quality degree of GMs in the stage of writhing movements were HIE(OR=15.566,95%CI:1.349-179.59).The analysis also indicated asphyxia of the newborn was influencing factor for low quality of GMs in the stage of fidgety movements(OR=4.289,95%CI:1.114-16.519).Conclusions HIE,intracranial bleeding,neonatal hypoglycemia,asphyxia of the newborn are risk factors for abnormal GMs results in high-risk infants.Early recognition of these high-risk infants and taking timely intervention can improve neuro-developmental outcomes.

关 键 词：全身运动质量 危险因素 高危儿 回归分析 

分 类 号：R722[医药卫生—儿科]