儿童语言发育迟缓就诊延迟相关因素分析

目的 了解儿童语言发育迟缓就诊延迟的现状与影响因素，为临床早期干预、早期诊治提供科学依据。方法 因语言发育迟缓在宁海县妇幼保健院发育行为专科就诊的儿童104例(68例发育性语言延迟，36例全面发育迟缓)，采用自制的调查问卷获取相关信息，并用SPSS 17.0统计软件进行结果分析。结果 发育性语言延迟与全面发育迟缓在儿童性别、父母文化程度、家族史方面差异无统计学意义(P>0.05)，但是首次发现年龄、就诊年龄以及延迟就诊时间上差异有统计学意义(t=-4.063，-2.727，-3.351，P均<0.05 );多元回归分析发现语言发育落后的首次发现年龄与母亲文化程度呈负相关:即母亲文化程度越高，首次发现年龄越早;首次发现年龄、延迟就诊年龄与疾病诊断有关(P<0.05)，即发育性语言延迟儿童可能更早被家长所发现，更早接受诊治。结论 应加大儿童语言发育的宣教力度，将语言评估检查纳入儿童的常规体检，以便语言发育迟缓儿童得到早期诊治。

Related factors of delayed referring in children with language developmental delay.

Objective To investigate related factors of the delayed referring in children with developmental language delay,and to provide scientific basis for the further intervention. Methods A total of 104 children (including 68 developmental language delay (DLD),36 global developmental delay (GDD) were included,a questionnaire was used to acquire related information. Results 1) There were no significant differences between DLD and GDD in gender,parents education,family history (P>0.05),but first discovered age,first referred age and delayed referring time had statistic differences (P<0.05);2) Through multiple linear regression analysis,mother's education was related with first discovered age.Higher mother's education associated with earlier discovered age.3) There were differences in first discovered age and delayed referring time between different diagnosis conditions (P<0.05).DLD children were more likely to be discovered earlier. Conclusion Due to lack of knowledge of language development milestones to parents,the monitoring of language development from the first year of child is supposed in the primary children's health care system.