van Haastert I C, de Vries L S, Helders P J M, Jongmans M J
University Medical Center Utrecht, Departments of Neonatology and Pediatrics, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
J Pediatr. 2006 Nov;149(5):617-22. doi: 10.1016/j.jpeds.2006.07.025.
To systematically examine gross motor development in the first 18 months of life of preterm infants.
A total of 800 preterm infants (356 boys), ages between 1 and 18 months and corrected for degree of prematurity, were assessed with the use of the Alberta Infant Motor Scale.
Comparison of the mean Alberta Infant Motor Scale scores of the preterm infants with the norm-referenced values derived from term infants revealed that as a group, the preterm infants scored significantly lower at all age levels, even with full correction for degree of prematurity.
In general, preterm infants exhibit different gross motor developmental trajectories compared with term infants in the first 18 months of life. The gross motor developmental profile of preterm infants may reflect a variant of typical gross motor development, which seems most likely to be specific for this population. As a consequence, adjusted norms should be used for proper evaluation and clinical decision-making in relation to preterm infants.
系统研究早产儿出生后18个月内的大运动发育情况。
使用艾伯塔婴儿运动量表对800名年龄在1至18个月之间且已根据早产程度进行校正的早产儿(356名男婴)进行评估。
将早产儿的艾伯塔婴儿运动量表平均得分与足月儿的常模参照值进行比较发现,即使对早产程度进行了充分校正,作为一个群体,早产儿在所有年龄水平上的得分均显著较低。
总体而言,与足月儿相比,早产儿在出生后的18个月内表现出不同的大运动发育轨迹。早产儿的大运动发育概况可能反映了典型大运动发育的一种变体,这种变体似乎最可能是该群体所特有的。因此,应使用校正后的常模对早产儿进行适当评估和临床决策。