韦氏儿童智力量表全式和简式在智力评残中的应用效果  

Application effects of the complete version and abbreviated version of Wechsler Intelligence Scale for Children in intelligence disability assessment

作　　者：唐丽君 张海涛 陈蕾 吴红玲 严娟凤 贺望花 李瑛 TANG Lijun;ZHANG Haitao;CHEN Lei;WU Hongling;YAN Juanfeng;HE Wanghua;LI Ying(Department of Children′s Health,Xinyu Maternal and Child Health Hospital,Jiangxi Province,Xinyu 338000,China)

机构地区：[1]江西省新余市妇幼保健院儿童保健科,江西新余338000

出　　处：《中国当代医药》2022年第6期66-68,72,共4页China Modern Medicine

基　　金：江西省新余市指导性科技计划项目(20203090895)。

摘　　要：目的探讨韦氏儿童智力量表全式(C-WISC)和简式(WISC-CR)在智力评残中的应用效果。方法选取2019年1月至2021年3月新余市妇幼保健院收治的疑似及确诊智力缺陷儿童50例,采用C-WISC进行检测,并选取两组四合一组合(WISC-CR 1:I、S、PC、BD;WISC-CR 2:I、V、PC、BD),比较检测结果,分析WISC-CR量表与C-WISC所测智商一致性。结果WISC-CR 1、WISC-CR 2 IQ智商检测结果与C-WISC检测结果比较,差异无统计学意义(P>0.05)。Pearson相关性分析显示,WISC-CR 1、WISC-CR 2与C-WISC智商皆为正相关(P<0.05)。C-WISC评分评定高智商0例、正常智商5例、低智商45例;WISC-CR 1简式评分评定高智商0例、正常智商5例、低智商45例;WISC-CR 2简式评分评定高智商0例、正常智商6例、低智商44例。WISC-CR 1简式与C-WISC在智力评残上的一致性Kappa值为0.777,具有较高一致性;WISC-CR 2简式与C-WISC在智力评残上的一致性Kappa值为0.694,一致性尚可。结论WISC-CR(WISC-CR 1:I、S、PC、BD;WISC-CR 2:I、V、PC、BD)两组四合一检测方式与C-WISC智商相关性均较高,可作为儿童智力评残的评估工具,或作为患儿配合度较差、时间紧迫等情况下主要参考指标。Objective To investigate the application effects of the Chinese version of Wechsler Intelligence Scale for Children(C-WISC)and the Wechsler Intelligence Scale for Children-Chinese revised edition(WISC-CR)in intelligence disability assessment.Methods Fifty children suspected of and confirmed with mental deficiency who were admitted to Xinyu Maternal and Child Health Hospital from January 2019 to March 2021 were selected and tested with C-WISC.Two of the four-in-one combinations(WISC-CR 1:I,S,PC,BD;WISC-CR 2:I,V,PC,BD)were selected,and the test results were compared.The intelligence quotient(IQ)consistency between WISC-CR and C-WISC was analyzed.Results The IQ test results of WISC-CR 1,WISC-CR 2 IQ and C-WISC showed no statistically significant difference(P>0.05).The Pearson correlation analysis showed that WISC-CR 1 and WISC-CR 2 were all positively associated with C-WISC IQ(P<0.05).WISC-CR 1 scores showed no high IQ,5 cases of normal IQ,and 45 cases of low IQ.WISC-CR 2 scores showed no high IQ,6 cases of normal IQ,and 44 cases of low IQ.C-WISC scores showed no high IQ,5 cases of normal IQ,and 45 cases of low IQ.WISC-CR 1 was highly consistent with C-WISC in intelligence disability assessment(Kappa value=0.777),and the consistency between WISC-CR 2 and C-WISC in intelligence disability assessment was good(Kappa value=0.694).Conclusion WISC-CR(WISC-CR 1:I,S,PC,BD.WISC-CR 2:I,V,PC,BD),two of the four-in-one testing methods,are highly consistent with the IQ of C-WISC,which indicates that they can be used for intelligence disability assessment of children,or used as the main reference indexes for children with poor cooperation and tight time.

关 键 词：中国-韦氏儿童智力量表 简式 智力缺陷 智商 智力评残 

分 类 号：R749[医药卫生—神经病学与精神病学]