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

关键词：高危儿  Peabody运动发育量表  Bayley婴幼儿发育量表  脑性瘫痪

Keywords:high risk infant  Peabody developmental motor scale  Bayley scales of infant development  cerebral palsy

摘要：

      摘要 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。

Abstract:

      Abstract 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.