Peabody与Gesell发育量表在1岁内脑瘫高危儿运动功能评估中的相关性

Correlation Between the Peabody Developmental Motor Scale-2 and the Gesell Developmental Scale on Motor Function in 508 Infants Within one Year Old with High Risk of Potential Cerebral Palsy

目的：探讨Peabody运动发育量表（PDMS-2）和Gesell发育量表（GDS）对〈1岁脑瘫高危患儿运动功能评估的相关性。方法：＜1岁的脑瘫高危病史患儿508例，按月龄分为0～3个月、4～6个月、7～12个月3个组，采用盲评法分别应用PDMS-2和GDS进行评估。并在GDS不纠正胎龄和纠正胎龄的条件下分别比较PDMS-2和GDS中的粗大运动发育商（GMQ）与精细运动发育商（FMQ）两者的相关性。结果：3组患儿不纠正胎龄和纠正胎龄时PDMS-2和GDS的GMQ有相关性（P〈0．01）；7～12个月组纠正胎龄后的GMQ相关系数最大（0．985）。0～3个月组不纠正胎龄PDMS-2和GDS的FMQ无相关性（P〈0．01）；0～3个月组纠正胎龄、4～6个月、7～12个月组不纠正胎龄和纠正胎龄PDMS-2和GDS中的FMQ有相关性（P＜0．01）；7～12个月组纠正胎龄后的FMQ相关系数最大（0．984）。结论：〈1岁脑瘫高危患儿中，除1～3个月患儿不纠正胎龄时的FMQ外，PDMS-2和GDS中的GMQ和FMQ均有相关性，在月龄大并纠正胎龄的患儿中相关性更突出。

Objective：To study the correlation between the Peabody developmental motor scale-2 （PDMS-2） and the Geselt Developmental Scale （GDS） on motor function in 508 infants below one year old with high risk of potential cerebral palsy. Methods： Five hundred and eight infants below one year old with high risk of potential cerebral palsy were di vided into 3 age groups： 0-3 months （group 1）, 4-6 months （group 2）, 7-12 months （group 3）. The infants were tested with PDMS-2 and GDS by two different therapists within one day. The scores of gross motor quotient （GMQ） and fine motor quotient （FMQ） from GDS were compared with those from PDMS-2 under the conditions that the gestational age was corrected or uncorrected. Results：There was significant difference in GMQ from PDMS-2 and GDS among three groups （r〉0.3, P〈0.01） under the conditions that the gestational age was corrected or uncorrected, and 7-12 months after correction of the gestational age, the correlation coefficient was the greatest （r=0. 985）. In group 1, there was no correlations about FMQ （r=0. 216, P〈0.01） when the gestational age was uncorrected, but when the gestational age was corrected, and in groups 2 or group 3 whatever the gestational age was corrected or uncorrected, there was correla tions about FMQ （r〉0.3, P〈0.01）. In group 3 the correlation coefficient was the greatest （r=0. 984） when the gestational age was corrected. Conclusion：In the infants below one year with high risk of potential cerebral palsy, there were significant correlations between the GDS and PDMS-2 on motor function, especially in the older infants whose gestational age was corrected, except the correlation about FMQ in 1-3 months infants whose gestational age was uncorrected.