先天性外中耳畸形对儿童患者心理状况的影响  

The influence of congenital malformation of external and middle ear on the psychologic status of children patients

作　　者：纪树芳[1] 区永康[2] 许耀东[2] 郑亿庆[2] 

机构地区：[1]广东省佛山市中医院耳鼻咽喉科,广东佛山528000 [2]中山大学孙逸仙纪念医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第7期450-452,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：本研究采用Achenbach儿童行为量表对先天性外中耳畸形患儿的心理状况进行测评,了解畸形对患儿心理有无影响及影响程度。方法：66例4~16岁先天性外中耳畸形患儿由家长根据其表现填写行为量表,计算心理行为异常检出率。同时收集一般资料、耳廓Marx分级,对患儿的心理异常检出率进行单因素及多因素分析。结果：外中耳畸形患儿心理异常检出率为21.21%,高于全国常模,差别有统计学意义。耳廓Marx分级及父母压力程度与心理异常检出率相关,多因素Logistic回归分析中Cox＆Snell系数为0.153。其中耳廓Marx分级Ⅲ级的患儿心理异常检出率高达36.4%,高于Ⅱ级畸形患儿。结论：先天性外中耳畸形这一事件对儿童患者心理确有影响,但仅是众多影响因素之一,其对患儿心理造成的影响在所有心理影响因素中的作用约占15%。但耳廓Marx分级Ⅲ级的患者是发生心理异常的高危人群。Objective：This research focuses on the psychologic status of children patients with congenital malformation of external and middle ear by Achenbach′s Child Behavior Checklist（CBCL）in order to explore the degree of the influence.Method：The 66patients of 4-16years old were assessed psychologic status with CBCL filled in by their parents according to their performance in half a year.Then calculated the detection rate of behavioral disorders of these patients.Collected all patients′general information and Marx′s grade of malformed ears. Then analyzed the relationship between the detection rate and these factors.Result：The detection rate of behavioral disorders of 4-16years old patients,21.21%,which is higher than that of Chinese norm.The Marx′s grade and parents＇ mental stress relate with the behavioral disorders.In Logistic regression analysis,the value of CoxSnell coefficient of the regression model is 0.153.The detection rate of behavioral disorders in grade Ⅲ patients（36.4%）is greater than that of gradeⅡ（4.3%）,P=0.004.Conclusion：Congenital malformation of external and middle ear has an absolute influence on the patients＇ psychologic status,but its effect is only about 15% parts of the multitudinous influential factors.And gradeⅢ patients carry a high-risk for behavioral disorders.

关 键 词：先天性外中耳畸形 心理状况 儿童 

分 类 号：R764.72[医药卫生—耳鼻咽喉科]