摘要
目的探索温岭地区儿童语言发育迟缓的发生情况及其影响因素,为临床早期发现、综合干预提供科学依据。方法选择2017年6月-2018年6月因语言发育落后来温岭市妇幼保健院就诊的患儿302例作为观察组,另选取同期在本院进行儿童体格检查的302例健康儿童作为对照组。采用自行设计的问卷调查儿童一般情况、出生情况以及家庭养育环境,比较两组儿童的一般资料和问卷中的可能影响儿童语言发育的可能因素。结果主要监护人(OR=2.128,P=0.015)、父亲文化程度越低(OR=3.277,P=0.003)、母亲文化程度越低(OR=1.674,P=0.028)、家庭经济状况越差(OR=3.133,P=0.012)、主要监护人与儿童交流时间越短(OR=5.912,P=0.000)、媒体暴露时间越长(OR=1.610,P=0.006)、具有早产史(OR=1.010,P=0.015)、窒息史(OR=1.785,P=0.014)、语言迟缓遗传史(OR=1.606,P=0.033)是影响儿童语言发育的危险因素。结论语言发育迟缓影响儿童的身心发育,掌握影响儿童语言发育的先天因素和后天环境因素对患儿进行早发现、早诊断、早干预,降低儿童语言发育迟缓的发生率及其危害性。
Objective To explore the occurrence and influencing factors of language retardation in children in Wenling area,provide a scientific basis for early detection and comprehensive intervention.Methods From June 2017 to June 2018,302 children diagnosed as language retardation in Wenling Municipal Maternal and Child Health Care Hospital were selected as observation group,302 healthy children receiving physical examination in the hospital were selected as control group.A self-designed questionnaire was used to survey general situation,birth status,and family care environment.The general data and the possible factors affecting child language development in questionnaire were compared between the two groups.Results The risk factors of affecting child language development included main guardians(OR=2.128,P=0.015),paternal low educational level(OR=3.277,P=0.003),maternal low educational level(OR=1.674,P=0.028),poor family economic status(OR=3.133,P=0.012),short-time communication between the main guardians and children(OR=5.912,P=0.000),long video media exposure time(OR=1.610,P=0.006),premature delivery history(OR=1.010,P=0.015),apnea history(OR=1.785,P=0.014),genetic history of language retardation(OR=1.606,P=0.033).Conclusion Language retardation is harmful to children's physical and mental development.To reduce the incidence rate and harm of language retardation,the clinicians should master the congenital and acquired environmental factors affecting children's language development and make early diagnosis,detection,and treatment.
作者
周爱萍
郑淑红
林曦
徐小丽
谢敏慧
郑雪芬
ZHOU Ai-Ping;ZHENG Shu-Hong;LIN Xi(Wenling Municipal Maternal and Child Health Care Hospital,Wenling,Zhejiang 317500,China)
出处
《中国妇幼保健》
CAS
2020年第12期2234-2237,共4页
Maternal and Child Health Care of China
基金
温岭市科技计划社会项目(2016C31BE0026)。
关键词
语言发育迟缓
儿童
影响因素
Language retardation
Child
Influencing factor
