婴儿运动表现测试(TIMP)在马鞍山地区高危儿评估中的运用  

Application of test of infant motor performance in the assessment of High-Risk infants in Ma′anshan Area

作　　者：曹慧 唐甜 CAO Hui;TANG Tian(Maanshan Maternal and Child Health Hospital,Maanshan,Anhui 243000,China)

机构地区：[1]安徽省马鞍山市妇幼保健院,安徽马鞍山243000

出　　处：《公共卫生与预防医学》2025年第2期82-85,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的描述高危儿运动发育常见的问题及探索相关影响因素。方法以2021年1月至2023年6月在马鞍山市妇幼保健院儿童早期发展科进行婴儿运动表现测试(Test of Infant Motor Performance,TIMP)的高危儿为研究对象,专业人员进行评估,同时收集人口统计学信息变量,最终获得有效数据1106例。采用x^(2)检验、t检验或F检验比较不同,采用多重线性回归分析探索影响TIMP得分的相关因素。结果TIMP评估发育偏离和异常的发生率分别为362(32.73%)和44(3.98%)。性别、出生体重、出生胎龄、测试周龄以及临床印象是TIMP得分的影响因素(t=2.33、2.26、-2.78、23.35、-8.48,P均<0.05)。在诱发条目中,除了无视觉中线位15″和上肢防御30″外,偏离和异常者的得分均低于优秀和良好者,差异均有统计学意义(P均<0.05)。结论中文版TIMP能够反映高危儿运动能力水平,适用于高危儿早期评估。Objective To investigate common problems in motor development in high-risk infants and explore related influencing factors.Methods The high-risk infants who underwent the Test of Infant Motor Performance(TIMP)at the Early Childhood Development Department of Ma′anshan Maternal and Child Health Hospital from January 2021 to June 2023 were selected as the research subjects.Professional evaluation was conducted,and demographic information variables were collected.Finally,effective data of 1106 cases were obtained.The x^(2) test,t-test,or F-test were used to compare differences,and multiple linear regression analysis was used to explore the relevant factors influencing TIMP scores.Results According to the TIMP assessment,the incidence rates of developmental deviation and abnormality were 32.73%(362/1106)and 3.98%(44/1106),respectively.Gender,birth weight,gestational age,test week age,and clinical impression were the influencing factors for TIMP scores(t-values=2.33,2.26,-2.78,23.35,and-8.48,all P<0.05).In the elicited items,except for the midline position of 15"without vision and the upper limb defense of 30",the scores of deviant and abnormal subjects were lower than those of excellent and good subjects,and the differences were statistically significant(P<0.05).Conclusion The Chinese version of TIMP can reflect the level of exercise ability in high-risk infants and is suitable for early assessment of high-risk infants.

关 键 词：婴儿运动表现测试 高危儿 发育评估 

分 类 号：R174[医药卫生—妇幼卫生保健]