关键词: 运动发育迟缓, 早产儿, 20项神经运动检查, Alberta婴儿运动量表

Abstract: Objective To analyze the assessment and early intervention mode of mild motor developmental delay in preterm infants,in order to provide a new mode for follow-up and intervention of preterm infants. Methods A total of 100 preterm infants with first follow-up card and routine follow-up from March 1st,2018 to March 31st,2019 in the Children′s Health Department of Affiliated Xiaolan Hospital,Southern Medical University were selected in this study,and were examined by 20 neuromotor examinations at 0-1 years (20-items).The preterm infants were divided into intervention group (n=33),control group (n=31) and normal group (n=32),and 4 cases of premature infants were referred.The Alberta Infant Motor Scale (AIMS) scores of the preterm infants in intervention group and control group were compared after intervention and the development quotient (DQ) of the three groups of preterm infants at the age of 12 months were compared. Results 1) After the intervention,AIMS score of the intervention group was significantly higher than that of the control group (t=2.06,P＜0.05).2) The gross motor DQ,verbal DQ,and social behavior DQ at 12 months old among the intervention group,normal group and control group were significantly different (F=9.49,9.02,4.53,P＜0.05).Further analysis showed that the difference on gross motor DQ between control group and normal group,as well as between control group and intervention group were both significant (P＜0.05).Differences on verbal DQ between intervention group and normal group,as well as between control group and normal group were significant (P＜0.05).Moreover,the difference on social behavior DQ between control group and normal group was significant (P＜0.05),but there was no statistically significant difference between the other groups (P＞0.05).3) Four cases of premature infants were referred and there were no infants with visual or hearing abnormalities. Conclusion The early comprehensive intervention mode based on 20 neuromotor examinations for follow-up,AIMS as the guidance for early intervention and the early interventions focused on Bobath therapy is feasible in the follow-up of premature infants with mild motor retardation.

Key words: motor development retardation, preterm infants, 20 neuromotor examinations, Alberta Infant Motor Scale