听力障碍合并注意力缺陷多动障碍危险因素分析  

Risk Factors for Children with Hearing Impairment Combined with Attention Deficit Hyperactivity Disorder

作　　者：刘蕊[1] LIU Rui

机构地区：[1]河北省唐山市妇幼保健院,唐山063000

出　　处：《中国听力语言康复科学杂志》2021年第6期446-448,451,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的听障患儿合并注意力缺陷多动障碍危险因素分析。方法选取2016年2月~2019年11月我院诊治的400例听力障碍患儿作为研究对象,分析患者的临床资料,根据是否合并注意力缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)分为合并ADHD组和听障组,采用Logistic回归分析筛选听障患儿合并注意力缺陷多动障碍危险因素。结果400例听力障碍患儿中有37例患儿合并注意力缺陷多动障碍的发生率为9.25%(37/400)。单因素分析结果显示,合并ADHD组和听障组患儿的年龄、家庭收入及居住地等资料无统计学差异(P>0.05),而性别、父母教养态度、父母关系、维生素D缺乏、饮食及家族史等存在显著差异(P<0.05)。Logistic回归分析结果显示:性别男(OR=3.988,95%CI:1.591~10.000)、父母管教态度不一致(OR=3.157,95%CI:1.435~6.945)、父母关系不和睦(OR=2.833,95%CI:1.268~6.327)、维生素D缺乏(OR=3.443,95%CI:1.582~7.495)、饮食不均衡(OR=2.766,95%CI:1.176~6.502)及有家族史(OR=4.193,95%CI:1.701~10.337)等为听障患儿合并注意力缺陷多动障碍的独立危险因素(P<0.05),与听障患儿注意力缺陷多动障碍高度相关。结论临床可根据注意力缺陷多动障碍的危险因素制订相关措施进行预防及治疗。Objective To explore the risk factors analysis and rehabilitation strategies of children with hearing impairment combined with attention deficit hyperactivity disorder(ADHD).Methods 400 hearing-impaired children who entered our hospital between February 2016 and November 2019 for diagnosis and treatment were selected as the research objects.The clinical data of the selected patients were analyzed,and the patients were classified as a combined ADHD group and control group according to whether they were combined with ADHD.In the ADHD group and control group,logistic regression analysis was used to screen the risk factors of children with hearing-impairment combined with ADHD.Results Among the 400 cases of hearing-impaired children,37 cases were combined with ADHD,and the incidence of ADHD was 9.25%(37/400).The results of univariate analysis showed that there was no statistical difference in data such as age,family monthly income,and residence of children between the combined ADHD group and the control group(P>0.05),while there were statistical differences in gender,parental attitude,deficient vitamin D,diet and family history(P<0.05).The results of logistic regression analysis showed that male(OR=3.988,95%CI:1.591~10.000),inconsistent parental discipline attitude(OR=3.157,95%CI:1.435-6.945),and disharmonious parental relationship(OR=2.833,95%CI:1.268-6.327),inadequate or deficient vitamin D(OR=3.443,95%CI:1.582-7.495),unbalanced diet(OR=2.766,95%CI:1.176-6.502),and family history(OR=4.193,95%CI:1.701-10.337)are independent risk factors for children with hearing impairment combined with ADHD(P<0.05),which are highly correlated with children with hearing impairment combined with ADHD.Conclusion According to the above mentioned risk factors of ADHD,clinical measures can be formulated to prevent and treatment ADHD.

关 键 词：听障患儿 注意力缺陷多动障碍 危险因素 

分 类 号：R764[医药卫生—耳鼻咽喉科] R749.94[医药卫生—临床医学]