目的 通过比较全身运动(GMs)评估正常的高危儿单纯家庭康复训练与家庭康复训练联合药物干预的预后,分析GMs对高危儿早期干预的指导意义。方法 选取2016年2月-2017年2月于潍坊市妇幼保健院康复科就诊并接受GMs评估正常的183例高危儿,随机分组为观察组和对照组,观察组为单纯家庭康复训练组89例,对照组为家庭康复训练联合药物干预组94例。采用Peabody运动发育量表对两组患儿分别于纠正月龄6、9、12个月龄进行评估,对Peabody运动发育量表中各指标应用SPSS 21.0进行统计分析。结果 干预后,纠正月龄6、9、12个月龄时,观察组和对照组Peabody运动发育量表中粗大运动商(GMQ)、精细运动商(FMQ)、总运动商(TMQ)比较,差异无统计学意义(P>0.05),重复测量方差分析发现观察组和对照组的GMQ、FMQ、TMQ评分的组间效应差异无统计学意义(P>0.05),时间效应差异有统计学意义(P<0.05),干预因素与时间因素不存在交互作用(P>0.05)。结论 GMs评估对高危儿早期干预具有指导意义。GMs评估正常者,家庭康复训练可达到促进高危儿运动功能发育的目的 ,避免仅因系高危儿而采取“过度干预”。
Abstract
Objective To compare the prognosis of simple family rehabilitation training and family rehabilitation training combined with medicine intervention in high-risk infants with normal general movements (GMs) assessment, in order to analyze the guidance significance of GMs on the early intervention of high-risk infants. Methods A total of 183 high-risk infants with normal GMs assessment were recruited at the Rehabilitation Department of Weifang Maternal and Child Health Hospital from February 2016 to February 2017.Infants were randomly assigned to observation group and control group.The observation group (n=89) received simple family rehabilitation training, whereas the control group received family rehabilitation training combined with medicinal interventions (n=94).Infants were assessed at corrected age of 6,9 and 12 months using the Peabody Development Motor Scales (PDMS).Statistical analysis of measurements of the PDMS was performed with SPSS 21.0. Results After intervention, there was no significant difference on the scores of gross movement quotient (GMQ), fine motor quotient (FMQ), and total sports quotient (TMQ) between observation group and control group at the corrected age of 6,9 and 12 months (P>0.05).Repeated analysis of variance showed that the difference on the GMQ, FMQ, and TMQ scores between observation group and control group was not significant (P>0.05), while the time influence on the GMQ, FMQ, and TMQ scores was significant(P<0.05).There were no interactions between the effect of family rehabilitation training combined with medicinal interventions and time on the GMQ, FMQ, and TMQ scores (P>0.05). Conclusions GMs assessment is of great guiding significance for the early intervention of high-risk infants.For high-risk infants with normal GMs assessment results, family rehabilitation without medicinal interventions may well be as effective as that with medicinal interventions, so excessive intervention should be avoided.
关键词
全身运动 /
高危儿 /
家庭康复训练 /
早期干预
Key words
general movements /
high-risk infants /
family rehabilitation training /
early intervention
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基金
山东省潍坊市科学技术发展计划项目(2017YX076)
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