目的 探讨儿童发育性口吃发生的相关影响因素,为临床合理干预提供科学依据。方法 病例对照研究。对2020年10月—2022年4月于首都儿科研究所附属儿童医院儿童保健中心诊断的189例发育性口吃儿童(口吃组)及同期于儿童保健科体检的388例正常儿童(对照组)的临床资料进行分析。采用χ2检验及Logistic回归分析儿童发育性口吃的危险因素。结果 单因素分析显示口吃组儿童与对照组儿童在是否独生子女、家庭成员关系、口吃家族史、是否存在亲子阅读以及每日屏幕时间上比较差异有统计学意义(χ2=5.353、7.107、6.248、4.492、6.005,P<0.05)。Logistic回归分析显示独生子女(OR=1.702,95%CI: 1.153～2.514,P=0.007)、口吃家族史(OR=1.814,95%CI: 1.028～3.201,P=0.04)、无亲子阅读(OR=1.663,95%CI: 1.120～2.471,P=0.012)、屏幕时间≥1h/d(OR=1.517,95%CI: 1.025～2.246,P=0.037)为儿童发育性口吃的危险因素。结论 儿童发育性口吃与多种因素相关,独生子女及有口吃家族史儿童应引起关注,同时应增加亲子阅读时间,加强回应性照护,控制屏幕时间。
Abstract
Objective To analyze the related influencing factors of children with developmental stuttering, in order to provide scientific basis for reasonable clinical intervention. Methods A case control study design was adopted. The clinical data of 189 children with developmental stuttering (stuttering group) in the Center of Children's Healthcare, Children's Hospital, Capital Institute of Pediatrics from October 2020 to April 2022 and 388 typically developed children (control group) who underwent physical examination during the same period were analyzed. χ2 test and multivariate Logistic regression were used to analyze the association between developmental stuttering and potential influential factors. Results There were significant differences in terms of whether only-child or not (χ2=5.353), relationship among family members (χ2=7.107), family history of stuttering (χ2=6.248), parent-child reading (χ2=4.492) and daily screen time (χ2=6.005) between children in stuttering group and control group (P <0.05). Logistic regression analysis showed that only-child (OR=1.702, 95%CI: 1.153 - 2.514, P=0.007),family history of stuttering (OR=1.814, 95%CI: 1.028 - 3.201, P=0.04), non-parent-child reading (OR=1.663, 95%CI: 1.120 - 2.471, P=0.012), screen time≥1h/d (OR=1.517, 95%CI: 1.025 - 2.246, P=0.037) were risk factors for developmental stuttering in children. Conclusions The occurrence of developmental stuttering in children is related to multiple factors. More attention should be paid to only-child and children with family history of stuttering. Besides, parent-child reading time should be increased, responsive care should be enhanced and screen time should be controlled.
关键词
儿童 /
发育性口吃 /
屏幕时间 /
亲子阅读
Key words
children /
developmental stuttering /
screen time /
parent-child reading
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基金
国家自然科学基金面上项目(82273645);首都卫生发展科研专项(2020-2-2104); 北京市属医学科研院所公益发展改革试点项目(京医研2019-11, 京医研2021-3); 北京市属医院科研培育项目(Px2022053); 北京市医院管理中心“登峰”计划专项经费(DFL20221103); 首都儿科研究所所级基金(FX-2019-06,QN-2020-08,CXYJ-2021-08,LCPY-2021-11,LCPY-2021-27)
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