目的 探究Alberta婴儿运动量表(AIMS)在评估早期综合性干预对早产儿预后影响的可靠性和有效性,为早产儿评估提供临床证据。方法 选取2019年5月—2021年2月于商丘市第一人民医院出生并入住NICU的早期早产儿68例,出生后依据随机数字表法分为观察组和对照组,每组各34例。在出生1周后由两位康复师各自使用第二版Peabody动作发展量表 (PDMS-2)和AIMS对所有早产儿进行运动功能评估,并使用视频记录婴儿运动状态。康复师分别根据AIMS或PDMS-2评分结果对观察组和对照组早产儿制定早期综合性干预计划并由父母实施。在干预3个月后再次使用AIMS和PDMS-2量表对早产儿进行评分。所有的AIMS评分由同两位康复师在评分后1个月依据视频进行第二次评分。结果 AIMS的评分者组内和评分者组间可靠性强,组内相关系数为0.952(95%CI:0.419~0.992),组间相关系数0.977(95%CI:0.947~0.990); AIMS与PDMS-2的共时效度为0.948(95%CI:0.907~0.971),观察组3个月后的早产儿运动功能发育评分高于对照组,但差异无统计学意义(t＝0.287,P=0.362)。结论 AIMS在测量早期综合性干预对早产儿预后的影响中具有良好的可靠性和共时效度,为临床早期评估提供临床证据,改善早产儿生活质量。

Objective To explore the application value of the Alberta Infant Motor Scale(AIMS) in assessing the effect of early comprehensive intervention on the prognosis of preterm infants, so as to provide evidence for clinical assessment of premature infants. Methods A total of 68 early preterm infants born in the Department of Obstetrics and Gynecology in Shangqiu First People's Hospital from May 2019 to February 2021 were selected into this study, and were divided into observation group (n=34) and control group (n=34). In one week after birth, two rehabilitation therapists used Peabody Developmental Motor Scales-2(PDMS-2) and AIMS to evaluate the motor function of all premature infants, and used video to record the infant's motion status. According to the AIMS or PDMS-2 scoring results, the rehabilitation specialists made early comprehensive intervention plans for premature infants both in the observation group and the control group, and the interventions were implemented by infants' parents. After three months of intervention, the AIMS and PDMS-2 scales were used to assess preterm infants. All AIMS scores were scored a second time by the same two rehabilitation therapists based on the video one month after the score. Results The intra-rater and inter-rater reliability of AIMS was strong, the intra-group and inter-group correlation coefficients were 0.952 (95%CI:0.419 - 0.990) and 0.977 (95%CI:0.947 - 0.990), respectively. The concurrent validity between AIMS and PDMS-2 was 0.948(95%CI:0.907 - 0.971). After three months of intervention, the motor function development score of preterm infants in the observation group was higher than that in the control group, but the difference was not significant(t=0.287,P=0.362). Conclusion AIMS has good reliability and concurrent validity in measuring the effect of early comprehensive intervention on the prognosis of preterm infants, which is an appropriate tool for early assessment of motor function of premature infants.