儿童分泌性中耳炎与学习困难的相关性研究

周玉晨; 陆玲; 赵宁; 徐玉芹; 刘雪瑶; 高下

doi:10.13201/j.issn.2096-7993.2023.03.013

儿童分泌性中耳炎与学习困难的相关性研究

- 1.
  南京医科大学鼓楼临床医学院耳鼻咽喉头颈外科(南京，210008)
- 2.
  南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科江苏省医学重点学科南京鼓楼医院耳鼻咽喉研究所
基金项目:
国家自然科学基金(No：82192862，82071059)

详细信息

通讯作者: 高下，E-mail：gaoxiaent@163.com

中图分类号: R764.21

收稿日期: 2022-12-02

刊出日期: 2023-03-03

Correlation analysis of pediatric otitis media with effusion and learning difficulty

- 1.
  Department of Otolaryngology Head and Neck Surgery, Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, 210008, China
- 2.
  Department of Otolaryngology Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline[Laboratory], Research Institute of Otolaryngology

More Information

Corresponding author: GAO Xia, E-mail: gaoxiaent@163.com

Received Date: 02 December 2022

Publish Date: 03 March 2023

摘要

摘要: 目的探讨分泌性中耳炎对学龄儿童智力水平和学习成绩的影响，为临床诊疗提供指导。方法共招募34例分泌性中耳炎学龄儿童为研究对象，采用韦氏儿童智力测试量表中国修订版(WISC-R)及自编门诊调查表对招募的患儿及其家长进行调查，并进行全面的耳科学及听力学检查。以听力损失程度及患病时长对患儿进行分组，并与智力测试及问卷进行相关性分析。结果单因素分析及多重线性回归分析结果显示，患儿智力水平、学习成绩与其纯音听阈和患病时长相关(P < 0.05)，各因素的组内比较差异均无统计学意义(P>0.05)。结论分泌性中耳炎是学龄儿童的常见疾病，可能影响患儿的听力和言语，进而影响智力发育和学习能力。患儿应及时就医，尽可能减小听力损失及相关症状对其学习生活的影响。
- 分泌性中耳炎 /
- 听力损失 /
- 学习能力 /
- 智力发育
Abstract: Objective To investigate the impact of otitis media with effusion(OME) on school-age children regarding their intelligence level and academic performance, providing guidance for clinical diagnosis and treatment.Methods A total of 34 school-age children with OME were recruited. Children and their guardians were asked to complete the WISC-R intelligence tests and self-designed questionnaires. Comprehensive otologic and audiologic examinations were also performed. Children were grouped according to the extent of hearing loss and the overall duration of illness, and then correlations with the intelligence tests and questionnaires were analyzed.Results Single factor analysis and multiple linear regression analysis revealed intelligence level and academic performance of children were correlated with their pure tune threshold and duration of illness(P < 0.05), while there was no significant difference among the factors within each group(P>0.05).Conclusion As a common condition in school-age children, OME can adversely affect the hearing and speech of children, and even affect intellectual development and learning ability. Therefore, children should be diagnosed and treated promptly to minimize the impact of hearing loss and other related symptoms on their learning and life.
- otitis media with effusion /
- hearing loss /
- academic performance /
- intelligence index

HTML全文

表 1 患儿智力水平、学习成绩与其纯音听阈和患病时长的相关性分析分，X±S

影响因素	例数	智力水平	P值	学习成绩	P值
纯音听阈			0.043		0.032
正常	3	106.55±3.13		81.91±5.39
轻度损失	17	108.15±3.28		76.37±7.82
中度损失	14	107.39±4.12		71.44±5.82
患病时长/月			0.036		0.048
≤8.67	13	109.67±5.83		79.36±9.18
>8.67	21	105.93±3.28		74.99±10.17

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