腺样体肥大对儿童认知及智力影响的相关性研究

The correlation between cognitive,intelligence and adenoid hypertrophy in children

目的:探讨儿童腺样体肥大与认知及智力的相关性。方法:选择腺样体肥大患儿52例作为肥大组,某幼稚园健康儿童59例作为对照组。所有研究对象由被调查者的父母填写Conner’s量表了解其认知情况,5.5岁以上儿童进行标准型瑞文智力测验了解智力发育情况。肥大组患儿拍摄鼻咽侧位片,根据A/N比率将其分为4组,进行组间比较。结果:1肥大组与对照组认知比较:Conner’s量表总评分,肥大组总分高于对照组(P<0.05);按A/N分组后比较:腺样体肥大程度与总评分呈正相关;2肥大组与对照组儿童智力对比差异无统计学意义(P>0.05)。结论:腺样体肥大的儿童认知能力较正常儿童差,并且随着腺样体肥大程度的增加其认知能力受影响越明显;但智力无明显差异。

Objective：The purpose of this study was to prove the correlation between adenoid hypertrophy and cognitive and intelligence .Methods ：52 children with adenoid hypertrophy were selected as adenoid hypertrophy group ,at the same time ,59 healthy children were chosen as control group .All the children’s parents were asked to fill in the Parent Symptom Questionnaire （PSQ） ,the entire child who more than 5 .5 years old has to take the intelli‐gence test .After taking nasopharyngeal radiograph of hypertrophy group ,we divided these children into 4 groups , and then comparison between the groups .Results：① Through the comparison in PSQ total score between the two groups ,there was statistically significant ,we could infer that the hypertrophy group＇s score was higher than the con‐trol group＇s;grouped according to the degree of adenoid hypertrophy ,the degree of hypertrophy and total scores were positively correlated;②In intelligence tests ,the result showed no significant difference between mast group＇s and control groups .Conclusion：Compared with the normal children ,Children with adenoid hypertrophy are poorer performances in the point of cognitive ,and with the increase of degree of adenoid hypertrophy its cognitive ability affected more obviously .But there is no significant difference in the intelligence .