精神发育迟滞儿童感觉统合功能障碍的影响因素

Risk factors of sensory integrative dysfunction in children with mental retardation

目的了解精神发育迟滞儿童感觉统合功能障碍的影响因素。方法采用横断面研究。从成都市第四人民医院和成都市驷马桥小学共收集样本327例,最终得到有效资料306份。采用"家庭情况调查表"、"儿童感觉统合评定量表"和"儿童行为量表"进行评定,应用多因素线性回归方法(逐步法)进行多因素回归分析。结果生产时窒息情况、家族史、教育类型及行为障碍(CBCL)与儿童的感觉统合功能障碍相关:生产时有窒息情况出现的儿童,前庭平衡失调的情况较严重;采用打骂惩罚教育方式、内向性行为和经济情况较差的儿童,触觉过分防御的症状更为明显;生产时有窒息情况和家族史阳性的儿童,本体感失调的症状更严重。结论儿童的感觉统合功能障碍与多个因素相关,提示对患儿的治疗是个长期的过程。

Objective To explore the risk factors of sensory integrative dysfunction in children with mental retardation.Methods A cross-sectional research was used which contained 306 completed data.＂family questionnaire＂,＂children sensory integration rating scale,CSIRS＂ and ＂child behavior checklist,CBCL＂ were employed to assess the subjects and multiple linear regression analysis was the statistic tool.Results Asphyxia in birthing,family history,educational way and behaviors disorder were the risk factors of sensory integrative dysfunction in children with mental retardation.Conclusion Multiple factors were relative to sensory integrative dysfunction in children with mental retardation,which indicates that the therapy would be a long way to success.