婴儿运动能力测试对早产儿纠正胎龄8～9周及12～13周运动能力的评估作用

Role of Test of Infant Motor Performance in premature evaluation in corrected gestational aged 8～9 and 12～13 weeks

目的研究早产儿纠正胎龄8～9周和12～13周时,婴儿运动能力测试(Test of Infant Motor Performance,TIMP)原始分的分级与盖泽尔发育量表(Gesell Developmental Scale,GDS)粗大运动发育商分级的相关性,并比较解读TIMP原始分与美国2004年的TIMP标准原始分的一致性。方法对30例早产儿分别于纠正胎龄8～9周和12～13周进行TIMP和GDS评估,记录其评分结果。并对TIMP原始分的分级和GDS粗大运动发育商分级进行相关性分析。另外将本研究TIMP原始分与美国2004年的TIMP标准进行比较。结果早产儿纠正胎龄8～9周及12～13周的TIMP原始分分级与GDS粗大运动发育商分级显著相关(r=0.533和0.567,P值均<0.01);本研究中早产儿纠正胎龄8～9周及12～13周TIMP原始分分别为77±18和98±18,都显著小于美国2004标准原始分(分别为93±18和108±19),差异有统计学意义(P值均<0.05)。结论通过与GDS粗大运动发育商进行比较显示,TIMP可应用于早产儿纠正胎龄8～9周及12～13周时运动能力的评估。与美国2004年标准原始分比较,本研究相应年龄段范围TIMP评分与美国标准有显著差异。

Objective To access the relation between the Test of Infant Motor Performance （TIMP） and the gross mo- tor quotient of （}esell Developmental Scale （GDS） ,and to compare with the American＇s TIMP standard. Methods A total of 30 cases of preterm were recruited in this study. Subjects were tested with the TIMP and the （DS in corrected gestational aged 8-9 and 12 - 13 weeks. Raw scores of TIMP were divided into average, below average, far below average. And gross motor quotient of GDS was divided into normal, critical level, developmental delay. Correlation between TIMP and gross mo- tor quotient of GDS was analyzed. The raw scores of TIMP between this research and the American＇s standard were also compared. Results In both 8-9 weeks and 12=13 weeks after corrected gestational age,TIMP scores showed highly sig- nificant correlation with the gross motor quotient of GDS（r=0. 533 and 0. 567,P〈0.01）. In both 8-9 weeks and 12±13 weeks,raw scores of TIMP of this study were 77±18 and 98±18,which were smaller than American＇s standards （93±18 and 108±19）. Conclusion TIMP can be applied to access babies who were corrected the gestational aged 8±9 weeks and 12±13 weeks. There are significant differences between this study and American＇s standard.