全身运动评估指导下的分级早期干预对高危儿预后的影响

A clinical observation of graded early intervention under the guidance of assessment of general movements on high-risk infants

目的:观察0—6月龄分级早期干预对高危儿预后的影响。方法:选取我院新生儿科住院期间接受全身运动质量评估的高危儿80例,随机分为观察组(40例)和对照组(40例)。两组患儿出院后至门诊复评全身运动(GMs)质量评估,并且每月至门诊随访1次接受常规儿童保健指导至纠正6月龄,观察组在此基础上进行0—6月龄分级早期干预。两组患儿在纠正6月、12月龄均采用Peabody运动发育量表中的粗大运动发育商(GMQ)、精细运动发育商(FMQ)、总运动发育商(TMQ)进行评估。结果:不安运动阶段末次,观察组的正常不安运动数量多于对照组,有显著性差异(P=0.012)。纠正6月、12月龄时,观察组GMQ、FMQ、TMQ分数均优于对照组,均有显著性差异(均P<0.001)。结论:0—6月龄分级早期干预有助于促进高危儿粗大、精细运动功能发育,对改善高危儿预后具有重要意义。

Objective:To observe the effect of graded early intervention on the prognosis of high-risk infants aged 0-6 months.Method:Eighty high-risk infants hospitalized in neonatology in our hospital who received assessment of general movements(GMs)were randomly divided into observation group(40 cases)and control group(40 cases).After discharge,the children in the two groups were given reassessment of GMs in the outpatient clinic,and were followed up once a month to receive routine child heath care guidance until the correction of 6 months of age.The observation group were given early intervention in 0-6 months of age on this basis.The gross motor development quotient(GMQ),fine motor development quotient(FMQ)and total motor development quotient(TMQ)in the Peabody motor development scale were used to evaluate the infants in the two groups at correction age of 6 months and 12 months.Result:At the end of the fidgety movement stage,the number of normal fidgety movement in the observation group was more than that in the control group,and the difference was significant(P=0.012).At the corrected ages of 6 and 12 months,GMQ,FMQ and TMQ in the observation group were all better than those in the control group,and the differences among each indicator group were significant(all P<0.001).Conclusion:Early intervention at 0-6 months of age can promote the development of gross and fine motor function in high-risk infants,and is of great significance in improving the prognosis of high-risk infants.