早產兒與足月兒精細運動發(fā)育差異及影響因素的研究
發(fā)布時間:2018-06-06 07:47
本文選題:早產兒 + 足月兒; 參考:《重慶醫(yī)科大學》2012年碩士論文
【摘要】:目的了解早產兒與足月兒精細運動發(fā)育水平的差異及其影響因素。 方法采用Peabody運動發(fā)育量表第二版(Peabody DevelopmentalMotor Scales2即PDMS-2)對215例嬰兒(早產兒97例、足月兒118例)進行精細運動發(fā)育水平測試,并對所得結果精細運動發(fā)育商(FMQ)進行統計分析。 結果1)精細運動發(fā)育的抓握原始分和視覺運動整合原始分均隨月齡的增加而增加,不同年齡段FMQ(矯正前)、FMQ(矯正后)、FMQ(足月)不同,(F=25.135P<0.05;F=28.634P<0.05;F=12.151P<0.05);2)早產兒FMQ(矯正前)89.58±5.43顯著小于足月兒FMQ(足月)93.90±6.65(t=5.142P<0.05);3)精細運動的抓握標準分低于視覺運動整合標準分,(d=-1.00±1.24,t=-11.881P<0.05);4)早產兒的抓握和視覺運動整合的標準分均落后于足月兒,(t=4.695P<0.05;t=4.385P<0.05);5)無論早產兒還是足月兒,,均有抓握相當月齡和視覺運動整合相當月齡小于嬰兒月齡,差異有統計學意義(P<0.05);6)FMQ受到胎齡、出生體重、是否試管嬰兒、進食能力訓練、身高、體重多方面因素的影響。 結論嬰兒期精細運動的發(fā)育隨年齡的增加不斷發(fā)展,6月-1歲期間,精細運動發(fā)育的速度逐漸減慢;早產兒精細運動發(fā)育落后于足月兒,且抓握能力發(fā)育較視覺運動整合能力發(fā)育落后;孕期加強保健延長胎齡增加出生體重、生后有意識通過進食能力訓練加強動手能力的提高、保持適宜的生長發(fā)育對精細運動的發(fā)育極其重要。
[Abstract]:Objective to investigate the difference of fine motor development between preterm and term infants and its influencing factors. Methods the fine motor development level of 215 infants (97 preterm infants and 118 full-term infants) was measured by Peabody motor development scale (PDMS-2), and the results were statistically analyzed. Results 1) the grasping primordial score and visual motor integration score of fine motor development increased with the increase of age. FMQs of preterm infants (89.58 鹵5.43 before correction) were significantly lower than those of full-term infants (93.90 鹵6.65(t=5.142P < 0.05). The grasp standard scores of preterm infants were lower than those of visual motor integration standard scores (-1.00 鹵1.24t- 11.881P < 0.05t- 11.881P < 0.05). The standard score of motor integration was lower than that of term infants (4.695 P < 0.05 P < 0.05 P < 0.05). There were significant differences in grasping age and visual motor integration between the two groups (P < 0.05). FMQ was affected by the factors of gestational age, birth weight, test-tube infant, feeding ability training, height and weight. Conclusion the development of fine motor in infancy develops continuously with the increase of age, and the rate of fine motor development slows down gradually during June 1, and the fine motor development of preterm infants lags behind that of full-term infants. The development of grip ability was backward than that of visual motor integration ability, and the health care during pregnancy prolonged the gestational age to increase birth weight, and consciously increased the practical ability through feeding ability training after birth. Maintaining proper growth and development is essential for the development of fine motion.
【學位授予單位】:重慶醫(yī)科大學
【學位級別】:碩士
【學位授予年份】:2012
【分類號】:R723
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