学龄前儿童生长发育状况与感觉统合失调的关系研究  

Study on relationship between growth and development status with sensory integration disorders in preschool children

作　　者：姚紫珺 李菊 李冬 雷赛 王静[1] 郭怀兰[1,2] YAO Zijun;LI Ju;LI Dong;LEI Sai;WANG Jing;GUO Huailan(School of Public Health,Hubei University of Medicine,Shiyan,Hubei 442000,China;Center for Environment and Health in Water Source Area of South-to-North Water Diversion,Hubei University of Medicine,Shiyan,Hubei 442000,China;School of Basic Medicine,Hubei University of Arts and Sciences,Xiangyang,Hubei 441053,China;Heart Disease Center,Shiyan Municipal People′s Hospital,Shiyan,Hubei 442099,China;School of Biomedical Engineering,Hubei University of Medicine,Shiyan,Hubei 442000,China)

机构地区：[1]湖北医药学院公共卫生与健康学院,湖北十堰442000 [2]湖北医药学院南水北调水源区环境与健康研究中心,湖北十堰442000 [3]湖北文理学院基础医学院,湖北襄阳441053 [4]十堰市人民医院心脏病中心,湖北十堰442099 [5]湖北医药学院生物医学工程学院,湖北十堰442000

出　　处：《重庆医学》2022年第11期1812-1817,共6页Chongqing medicine

基　　金：国家自然科学基金项目(81372998);湖北医药学院研究生科技创新项目(YC2019041);阿里巴巴公益基金。

摘　　要：目的了解学龄前儿童生长发育状况与感觉统合失调(SID)的关系,为学龄前儿童生长发育不良和SID的干预提供科学依据。方法采用整群抽样的方法于2017年10-11月抽取十堰市郧西县城内5所幼儿园,对其中3~6岁的学龄前儿童进行问卷调查。比较不同年龄、性别儿童的生长发育Z评分、生长发育状况和SID情况。采用二分类logistic回归模型分析SID的危险因素。结果男童的年龄别体重Z评分(WAZ)、年龄别体重指数Z评分(BMIZ)高于女童,差异有统计学意义(P<0.01)。儿童的生长发育迟缓、低体重、消瘦、超重、肥胖检出率分别为6.67%、8.62%、11.06%、6.83%、2.28%。不同年龄儿童的超重和肥胖率比较,差异有统计学意义(P<0.01);女童肥胖率低于男童(P<0.05)。SID检出率为35.93%(轻度27.15%,重度8.78%)。不同年龄儿童的总SID率和重度SID率比较,差异有统计学意义(P<0.05);男童的总SID率和轻度SID率高于女童(P<0.01)。多因素logistic回归分析发现,生长发育迟缓是本体感觉失调的危险因素(OR=2.748,95%CI:1.298~5.819,P<0.01)。结论郧西县学龄前儿童生长发育状况总体欠佳,生长发育迟缓会增加儿童本体感觉失调的危险性。Objective To understand the relationship between the growth and development status with sensory integration disorders(SID)in preschool children to provide a scientific basis for intervention of preschool children with growth retardation and SID.Methods The cluster sampling method was used to extract the five kindergartens in Yunxi County from October to November 2017.The questionnaire survey was conducted on the preschool children aged 3-6 years old.The growth and development Z scores,growth and development status and SID were compared among the children with different ages and genders.The risk factors of SID were analyzed by adopting the binary logistic regression model.Results The weight for age Z score(WAZ)and body weight index for age Z score(BMIZ)of boys were higher than those of girls,and the differences were statistically significant(P<0.01).The detection rates of growth retardation,low weight,emaciation,overweight and obesity were 6.67%,8.62%,11.06%,6.83%and 2.28%.The rates of overweight and obesity in children had statistical difference among different ages of children(P<0.01);the obesity rate of girls was lower than that of boys(P<0.05).The detection rate of SID was 35.93%(mild 27.15%,severe 8.78%).The rates of total SID and severe SID were different among different ages of children(P<0.05);the total SID rate and mild SID rate of boys were higher than those of girls(P<0.01).The multivariate logistic regression analysis showed that growth retardation was a risk factor for proprioceptive dysfunction(OR=2.748,95%CI:1.298-5.819,P<0.05).Conclusion The growth and development status of preschool children in Yunxi County is totally poor,and growth retardation will increase the risk of proprioception disorders in children.

关 键 词：学龄前儿童 生长发育状况 感觉统合失调 问卷调查研究 LOGISTIC回归分析 

分 类 号：R749.94[医药卫生—神经病学与精神病学]