菏泽市城区学龄儿童1008例感觉统合失调发生率及其相关因素调查

目的了解本市的学龄儿童感觉统合失调(sensory integration dysfunction,SID)的发生率及造成感觉统合失调的有关因素.方法采用北京感觉统合失调评定表,对 6～ 10岁 1 008例在校儿童进行整群抽样调查,所获数据经χ2检验. 结果感觉统合失调发生率为 35.52%( 358/1 008),其中轻度 23.41%(236/1 008),重度 12.10%( 122/1 008);男童发生率为 43.1%( 218/506),女童发生率为27.9%( 140/502),男高于女χ 2=25.404(P< 0.005).六七岁组感觉统合失调率低于8～ 10岁组(χ 2=9.726,P< 0.01)学习成绩好者发生率为 27.1% (91/336),学习成绩差者发生率为51.5% (104/202),两者比较 ,差异有非常显著性意义 (χ 2=49.72,P< 0.005);父母文化程度普通专科以上者发生率为23.6%,高中,中专为 17.9%,初中以下为 38.5%;父母文化程度高中中专以上与初中以下发生率比较(χ 2=5.874,P< 0.05);缺氧缺血性脑病者占感觉统合失调总发生率的 34.4%(123/358). 结论儿童感觉统合失调发生率与性别、年龄、父母文化程度、学习成绩、出生时是否有缺氧缺血性脑病有关.

Analysis of the incidence of sensory integrative dysfunction and its related factors in 1 008 school-age children in Heze city

AIM:To investigate the incidence of sensory integrative dysfunction(SID) and its related factors in school-age children in Heze city. METHODS:A total of 1 008 children at the ages from 6 to 10 years were studies by means of cluster sampling using Beijing SID evaluation scale and the results analyzed statistically. RESULTS:Of all the 1 008 children,the total incidence of SID was 35.52% (358/1008),including 236(23.41% ) mild and 122(12.10% ) severe cases.The incidence was 43.1% (218/506) in boys and 27.9% (140/502) in girls(χ 2=25.404,P< 0.005).The children aged 6- 7 years had lower incidence than in the children aged 8- 10 years(χ 2=9.726,P< 0.01).The incidence of SID was 27.1% (91/336) in children with good academic performance and 51.5% (104/202) in those with poor performance,showing a significant difference(χ 2=49.72,P< 0.005).A rate of 23.6% of the SID students have parents with college education,and 17.9% of the SID students' parents had senior high school or technical secondary school education,as compared with the parents of 38.5% of the students receiving junior high school education or below(χ 2=5.874,P< 0.05).Of all the children with SID,34.4% (123/358) used to have neonatal hypoxic ischemic encephalopathy (HIE). CONCLUSION:The incidence of SID in school-age children is closely associated with sex,age,parents' education background,academic performance and neonatal HIE.