扬州市城区学龄前儿童发育性协调障碍的流行病学调查

发布时间：2018-05-19 18:43

本文选题：儿童 + 学龄前　；参考：《中华疾病控制杂志》2017年02期

【摘要】：目的了解扬州市城区学龄前儿童发育性协调障碍(developmental coordination disorder,DCD)的发病情况,为DCD的早预防、早诊断、早干预提供理论依据。方法随机整群抽取扬州市城区3所幼儿园1 454名3~7岁儿童,使用儿童运动评估成套试验(movement assessment battery for Children,M-ABC)筛查儿童发育性协调障碍,使用儿童发育筛查测试(developmental screen test,DST)和韦氏学龄前及幼儿智力量表(the Wechsler preschool and primary scale of intelligence,WPPSI)剔除智力落后儿童,采用美国精神病诊断手册第四版(the diagnostic and statistical manual of mental disorders-IV,DSM-IV)确诊DCD。结果调查发现学龄前儿童DCD异常和可疑率分别为5.2%和12.0%。男童DCD异常及可疑率(7.3%和14.0%)高于女童(2.7%和9.7%),M-ABC实验得分差异体现在手灵巧度和动态平衡两个方面(均有P0.001)。不同年龄的儿童DCD异常及可疑率不同(x~2=18.502,P=0.005),由高到底依次为4~岁组、6~7岁组、5~岁组和3~岁组,M-ABC实验得分差异体现在手灵巧度和目标抓握两个方面(均有P0.001)。结论扬州市城区学龄前儿童DCD患病率不容乐观,手灵巧度和目标抓握能力相对落后。应根据不同性别、不同年龄儿童的运动协调发展特点,加强其整体运动协调能力训练。
[Abstract]:Objective to investigate the incidence of developmental coordination disorderia (DCD) in preschool children in Yangzhou City, and to provide theoretical basis for early prevention, early diagnosis and early intervention of DCD. Methods A total of 1 454 children aged 3 years old from 3 kindergartens in Yangzhou City were randomly selected. The children were screened for developmental coordination disorder by assessment battery for Childrenm ABC. The developmental screen test (DST) and the Wechsler Intelligence scale (Wechsler Intelligence scale) were used to eliminate children with mental retardation. The diagnostic and statistical manual of mental disorders-IVDM-IVM-IVM was used to diagnose DCDs in the fourth edition of the American Psychiatric Diagnostic Manual. Results the abnormal and suspicious rates of DCD in preschool children were 5.2% and 12.0% respectively. The abnormal and suspicious rates of DCD in boys (7.3% and 14.0%) were higher than those in girls (2.7% and 9.7%). The abnormal and suspicious rates of DCD were different in children of different ages. The difference of M-ABC test scores from 4 to 7 years old group and 3 ~ year old group showed in the two aspects of hand dexterity and target grasp (both P0.001). Conclusion the prevalence of DCD in preschool children in Yangzhou City is not optimistic, and the dexterity of hand and the ability of grasping target are relatively backward. According to different gender and age children's sports coordinated development characteristic should strengthen their overall sports coordination ability training.
【作者单位】：扬州市妇幼保健院儿童保健科;大连市甘井子区疾病预防控制中心健康教育和健康促进管理科;
【基金】：江苏省科技计划项目(BE2011673) 苏州市科技计划项目(SYS201145)
【分类号】：R749.94

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