线上视频反馈早期干预对单调性扭动运动质量临床疗效的影响

Effects of quality on clinical efficacy online video feedback for early intervention on monotonic torsion movements

目的探索线上视频反馈全身运动质量评估(GMA)超早期预测高危儿为单调性扭动运动者,实施医—家联合早期干预,观察其临床效果。方法收集高危儿门诊诊治的矫正胎龄45周前、经微信线上视频反馈GMA为单调性扭动运动的127例高危儿,其中男性61例,女性66例,失访5例;采用抛硬币法将其随机分为观察组(62例)和对照组(60例)。对照组患儿实施高危儿常规保健管理,观察组患儿在常规保健管理基础上给予微信线上视频反馈医—家联合早期干预,分别在纠正胎龄3月龄、10月龄进行Alberta婴儿运动量表评估、12月龄0~6岁儿心评估量表评估,比较2组患儿干预效果。结果2组患儿纠正胎龄3月龄Alberta婴儿运动量表评定AIMS分值比较差异无统计学意义(P>0.05);纠正胎龄10月龄时观察组Alberta婴儿运动量表评定AIMS总分高于对照组,差异有统计学意义(P<0.05),百分位数比较差异也有统计学意义(P<0.05)。12月龄0~6岁儿心评定量表评定适应能力、社交行为评分结果观察组分别高于对照组,差异有统计学意义(P<0.05)。结论通过微信线上视频反馈,及时给予患儿医—家联合早期干预,可以对高危儿GMA结果异常者有效改善患儿运动、适应及社交行为能力,适宜在高危儿管理中推广。

Objective To explore online video feedback total body motion quality assessment(GMA)for early prediction of high-risk children as monotonic wiggle movement,and to implement doctor-home combined early intervention to observe its clinical effect.Methods 127 high-risk infants who were treated in the high-risk pediatric outpatient clinic and had GMA of monotone twisting motion 45 weeks before correction gestational age were reported by wechat online video,including 61 males and 66 females,and five cases lost following-up;the patients were randomly divided into observation group(n=62)and control group(n=60)by coin toss.The control group was given routine health care management for high-risk infants,and the observation group was given wechat online video feedback for doctor-family combined early intervention based on routine health care management.The Alberta Infant Exercise Scale was evaluated at the corrected gestational age of three months and ten months,and the pediatric heart Rating Scale was evaluated at the age of 12 months and 0-6 years,respectively,and the intervention effects of the two groups were compared.Results There was no significant difference in the AIMS scores of the Alberta Infant Exercise Scale at three months of corrected gestational age between the two groups(P>0.05).At 10 months of corrected gestational age,the total score of AIMS assessed by Alberta Infant Exercise Scale in observation group was higher than that in control group,the difference was statistically significant(P<0.05),and the difference in percentile comparison was also statistically significant(P<0.05).The scores of adaptive ability and social behavior in 12 months aged 0-6 years were higher in the observation group than in the control group,with statistical significance(P<0.05).Conclusion Through wechat online video feedback,timely medical and family combined early intervention can effectively improve the motor,adaptation and social behavior ability of high-risk children with abnormal GMA results,and it is suitable for promotion in the management of high-risk children.