靖江市城区学龄儿童感觉统合失调的调查分析  

An analysis of school-age children with sensory integration dysfunction in the urban area of Jingjiang

作　　者：赵映敏[1] 王晨虎[1] 黄蕴[1] 

机构地区：[1]靖江市人民医院儿科,江苏靖江214500

出　　处：《现代医学》2010年第6期571-576,共6页Modern Medical Journal

摘　　要：目的:初步调查和分析靖江市城区学龄儿童感觉统合失调的发生率及影响因素。方法:用儿童感觉统合能力发展评定量表、Rutter儿童行为评定量表、Conners简明症状问卷和自行设计的生长发育及家庭环境因素调查表抽样调查靖江市城区2所小学593名儿童。结果:593名儿童总的感觉统合失调率为31.5%,其中轻度失调率为22.6%,重度失调为8.9%,男童和女童感觉统合失调率分别为35.4%和27.9%,男童高于女童(2χ=3.909,P<0.05)。总的行为问题发生率为27.8%,有行为问题儿童组感觉统合失调率明显高于无行为问题组(P<0.01),多因素非条件Logistic回归分析显示早产、非纯母乳喂养、周岁前活动多、不合群的伙伴关系、亲戚家小孩有多动情况、学习成绩差、不能独立完成作业是发生感觉统合失调的主要危险因素。结论:感觉统合失调是多种因素包括行为、学校、家庭和环境等方面相互作用的结果,有必要提高家长、老师的认识,及早进行筛查和干预。Objective： To investigate the incidence and the influencing factors of sensory integration dysfunction（SID） among the school-age children in the urban area of Jingjiang.Methods： 593 children aged 6-11 years from two urban primary schools in Jingjiang were investigated with child integration scale,Rutter＇s children behavior questionnaire（parent version）,Conners Forms and self-made questionnaire on influencing factors.Results： The total SID rate was 31.5%,among which 22.6% was slight and 8.9% serious.The rate of boys（35.4%） was higher than that of girls（27.9%）（χ2=3.909,P0.05）.The total rate of behavior problems was 27.8%.The SID rate of children with behavior problems was significantly higher than that of children without behavior problems（P0.01）.The Logistic Regression analysis showed that the main risk factors were premature delivery,non-breast-feeding,hyperactivity before the age of one,bad fellowship,hyperactivity in relatives＇ children,low academic records,incapability of accomplishing school tasks independently.Conclusion： SID is a result of multiple factors including children＇s behavior,school,family and environmental factors.Parents and teachers should pay more attention to prevent it earlier.

关 键 词：感觉统合失调 影响因素 行为问题 学龄儿童 

分 类 号：R748[医药卫生—神经病学与精神病学]