目的 了解学龄前儿童发育性协调障碍现状,为儿童发育性协调障碍的早期干预提供依据。方法 2012年4-5月在淮安城区6所幼儿园选择1 727名4~6岁学龄前儿童,应用“儿童发育协调障碍评估工具(MABC)”对儿童进行发育性协调障碍(DCD)筛查,根据《美国精神病诊断手册(第4版)》(DSM-Ⅳ)明确诊断。结果 1)本组资料中学龄前儿童DCD检出率为8.5%,其中男童为9.7%,女童为6.9%,男童DCD检出率显著高于女童(χ2=4.455,P=0.035);4岁、5岁和6岁组儿童DCD检出率分别为10.2%、8.3%和6.6%,随着年龄的增加DCD的检出率呈下降趋势,但三组儿童DCD检出率差异无统计学意义(χ2=4.396,P=0.111)。2)DCD女童在手灵巧度方面明显优于男童(t=-2.730,P=0.007),而DCD男童在球类运动技巧方面显著优于女童(t=2.829,P=0.006),两组在平衡能力方面差异无统计学意义;不同年龄组间DCD儿童在手灵巧度、球类运动技巧、平衡能力方面差异均无统计学意义。结论 学龄前儿童DCD检出率较高,尤以男童为显,应对其进行早期诊断,并积极探索有效的干预措施,以改善其预后。
关键词
学龄前 /
儿童 /
发育性协调障碍
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基金
江苏省科技厅社会发展项目(BE2011673);淮安市科技局社会发展项目(HAS2012013)
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