脑瘫高危儿Peabody运动发育量表与Bayley婴幼儿发育量表运动发育指数相关性研究

Correlation study between the Peabody developmental motor scale and Bayley scales of infant development in 6-month-old cerebral palsy high risk infants

目的:研究Peabody运动发育量表(PDMS-2)与Bayley婴幼儿发育量表(BSID)运动发育指数在脑瘫高危儿运动发育评测中的相关性。方法:随机抽取6个月龄的脑瘫高危儿(宫内窘迫或窒息)30例,对同一患儿分别进行PDMS-2与BSID中运动发育量表的评分,利用SPSS13.0统计软件对下列数据进行相关性分析:①PDMS-2中粗大运动发育商(GMQ),精细运动发育商(FMQ)和总体运动发育商(TMQ)分别与BSID中精神运动发育指数(PDI);②PDMS-2粗大运动中反射、姿势和移动标准分分别与PDI;③PDMS-2精细运动中抓握和视觉运动整合标准分分别与PDI。结果:①PDMS-2中GMQ,FMQ和TMQ与BSID中PDI的相关系数分别为0.674,0.555,0.701(P<0.01);②粗大运动中反射、姿势和移动标准分分别与PDI的相关系数分别为0.558,0.560,0.717(P<0.01);③精细运动中抓握和视觉运动整合标准分分别与PDI的相关系数分别为0.466,0.634(P<0.01);其中移动相关性最高,抓握相关性最低。结论:对6个月龄的脑瘫高危儿,Peabody运动发育量表与BSID中运动发育量表多数项目具有中度相关性,少数属于低度相关性;PDMS-2中粗大运动比精细运动与PDI运动的相关性更密切;提示需慎重选择量表用于脑瘫的诊断和治疗。

Objective：To study correlation between the Peabody developmental motor scale-2（PDMS-2） and the Bayley scales of infant development-Ⅱ（BSID-Ⅱ） motor scale for test of development of motion among cerebral palsy high risk infants.Method：The thirty 6-month-old infants who were high-risk children with cerebral palsy（fetal distress or asphyxia） were randomly sampled.The PDMS-2 and the BSID-Ⅱ motor scale were administered to the study objects by two therapists under the same conditions.The gross motor quotient（GMQ）,the fine motor quotient（FMQ）,and the total motor quotient（TMQ） from PDMS-2 were compared with the psychomotor development index（PDI） from BSID.Correlations between standard marks of reflexes,stationary,locomotion and PDI were analyzed.Correlations between standard marks of grasping,visual-motor integration and PDI were analyzed.Result：①The correlation coefficients of GMQ、FMQ and TMQ between PDI were 0.674（P=0.000）,0.555（P=0.001）,0.701（P=0.000）;②The correlation coefficients of standard marks of reflexes,stationary,locomotion between PDI were 0.558（P=0.001）,0.560（P=0.001）,0.717（P=0.000）;③The correlation coefficient of standard mark of grasping,visual-motor integration between PDI were 0.466（P=0.009）,0.634（P=0.000）.Conclusion：There is middle correlations between PDMS-2 and BSID-II motor scale in 6-month-old infants who were high-risk children with cerebral palsy.There is more closely correlations between PDMS-2 and BSID-II motor scale among gross motor and fine motor.There is high correlations between the standard mark of locomotion and PDI and low correlations between the standend mark of grasping and PDI.PDMS-2 is more stable than PDI of BSID.Careful selection of scales is needed for making the early diagnosis of cerebral palsy and treatment.