0～1岁早产儿运动发育指导方法的效果随访

Effect of Early Motor Development Instruction in 0-1 Preterm Infants

目的：探讨对0—1岁早产儿进行早期运动发育指导后临床随访至1．5—2岁的效果。方法：对80例纳入系统保健的早产儿，用北京GESELL发育量表进行运动发育评估，得出大运动分值，再根据该婴儿的实际运动能力进行运动发育指导，包括婴儿操促进全身肢体的发育；运用运动疗法促进头部控制、翻身，坐位，爬行、直立位的发育以及四肢的协调能力。结果：经过3-9个月的早期运动发育指导训练后，GESELL发育大运动功能评定评分100分以上75例（93．75％），85—100分3例（3．75％），85分以下2例（2．5％），其运动发育商较治疗前有明显提高，平均提高10分以上。结论：对0—1岁早产儿在出生后进行定期随访与指导，及早进行相应的训练，促进神经运动各项发育正常化，赶上正常儿童的发育，能降低残障儿的发生。

Objective： To explore clinical effect of early motor development instruction in 0-1 preterm infants. Method： 80 cases of preterm infants included in the health care system, GESELL developmental motor development assessment scale in Beijing, concluded that gross motor scores, depending on the actual movement of the infant motor development mentoring capacity, including： baby luck for body limb development; using exercise therapy to promote head control, roll over, sitting, crawling, upright growth and the coordination of limhs.Result： After 3-9 months early motor development of the coaching, GESELL developmental assessment scoring 100 points or more in 75 cases of motor function （ 93.75% ）, 85-100 points in 3 cases （ 3.75% ）, 85 points or less in 2 cases （ 2.5 % ）, their motor development had markedly improved, averaging more than 10 points.Conclusion： 0-1 years after birth in preterm infants for periodic follow-up and guidance, carrying out training at an early stage, promoting normalization of neuro-motor development and catch up with the development of normal children, can reduce the incidence of children with disabilities.