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【目的】研究发育性运动协调障碍(developmental coordination disorder,DCD)儿童婴幼儿期的动作发育情况,为DCD的早期诊断提供线索。【方法】采用儿童发育协调障碍评估工具(Movement Assessment Battery for Children,M-ABC),在苏州市新区和园区的8所幼儿园中筛查出117例DCD儿童为病例组,随即抽取正常儿童351例为对照组,对两组儿童进行儿童健康状况调查问卷及儿童发育家庭环境问卷调查,运用单因素和多因素非条件Logistic回归模型对结果进行统计分析。【结果】在控制了儿童性别、年龄后,病例组能独立坐起时间大于8个月(aOR=2.737,95%CI为1.007,7.440),开始独立行走时间大于15个月(aOR=2.632,95%CI为1.153,6.005),均晚于正常儿童,且有统计学意义。【结论】独立坐起和独立行走时间推迟可能是婴幼儿期DCD的危险因素。
【Objective】 To study the infancy and development of children with developmental coordination disorder (DCD) and provide clues for the early diagnosis of DCD. 【Methods】 A total of 117 children with DCD were screened out from 8 kindergartens in Suzhou New District and Park by using the Movement Assessment Battery for Children (M-ABC), and 351 normal children As control group, questionnaire of children’s health condition and questionnaire of children’s development family environment were conducted on two groups of children, and the results were statistically analyzed by univariate and multivariate non-conditional logistic regression models. [Results] After controlling for the gender and age of the children, the cases were able to sit up independently for more than 8 months (aOR = 2.737, 95% CI 1.007, 7.440) and independent walking longer than 15 months (aOR = 2.632, 95% CI 1.153,6.005), were later than the normal children, and with statistical significance. 【Conclusion】 The delay of independent sitting and independent walking time may be the risk factors of DCD in infancy.