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目的:观察Gesell发展量表联合表面肌电对高危儿筛查的应用价值。方法:选取2015年1月至2015年6月佛山市顺德区妇幼保健院收治的高危儿100例为观察组,选取同期于本院出生的正常足月婴儿100例作为对照组。两组均实施Gesell发展量表及表面肌电检测。比较两组各年龄段发育商(DQ),分析观察组表面肌电检查与高危儿痉挛程度的关系。结果:观察组的各时段DQ均明显低于对照组,差异有统计学意义(P<0.05);高危儿表面肌电平均发放间隔(IPI)与痉挛程度呈正相关性,表面肌电IPI指数值越高,高危儿痉挛程度越严重。结论:Gesell发展量表和表面肌电在高危儿的早期筛查诊断中有着极为关键的应用价值,综合考虑二者的优缺点,可将二者联合作为高危儿早期筛查的检测金标准,有效促进高危儿早期诊断准确率提升。
Objective: To observe the value of combined application of the Gesell developmental scale and surface electromyography in screening high-risk children. Methods: From January 2015 to June 2015, 100 cases of high risk infants admitted to Shunde Maternal and Child Health Hospital of Foshan were enrolled as observation group. 100 normal term infants born in our hospital were selected as control group. Both groups performed Gesell Developmental Scale and Surface Electromyography. The developmental age (DQ) was compared between the two groups, and the relationship between the myoelectricity of the observation group and the degree of high-risk infantile spasm was analyzed. Results: The DQ of the observation group was significantly lower than that of the control group at each time point (P <0.05). There was a positive correlation between the interval (IPI) of the surface myoelectricity and the degree of spasticity in the high-risk infants. The surface electromyography IPI index The higher the degree of high-risk infantile spasms more serious. Conclusion: The Gesell Scale and Surface Myoelectricity are extremely important in the early screening and diagnosis of high-risk infants. Considering the advantages and disadvantages of both, the combination of the two can be used as the gold standard for early screening of high-risk infants, Effectively promote the early diagnosis of high-risk children to improve the accuracy.