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目的:评价唇腭裂幼儿行为问题,为临床开展心理评估及干预提供参考依据。方法:随机选取2010年1月～2011年12月于中南大学湘雅医院口腔颌面外科住院治疗的唇腭裂患儿95例(年龄2～3岁),采用Achenbach的“儿童行为量表(Child Behavior Checklist,CBCL)”评估并与正常同龄幼儿对照分析。结果:幼儿唇腭裂行为问题无性别差异;但唇腭裂组患儿在攻击行为因子得分较对照组得分低,在社会退缩、抑郁、睡眠问题、躯体诉述、破坏行为5个行为因子方面得分则高于对照组。结论:唇腭裂幼儿行为与正常婴幼儿相比有明显的异常,根据患儿自身行为异常进行及时的行为心理干预治疗是十分必要的。
Objective: To evaluate the behavioral problems of children with cleft lip and palate and to provide a reference for clinical psychological assessment and intervention. Methods: A total of 95 patients (aged 2 to 3 years) with cleft lip and palate hospitalized in Department of Oral and Maxillofacial Surgery, Xiangya Hospital of Central South University from January 2010 to December 2011 were randomly selected. Achenbach’s Child Behavior Scale Child Behavior Checklist, CBCL) "evaluated and compared with normal peers. Results: There was no gender difference in behavior problems of cleft lip and palate in children. But score of attack behavior factor in cleft lip and palate group was lower than that in control group, and scored higher in five behavioral factors such as social withdrawal, depression, sleep problems, body complaint and vandalism In the control group. Conclusion: The behavior of children with cleft lip and palate is obviously abnormal compared with that of normal infants. It is necessary to conduct timely behavioral psychological intervention according to their own behaviors.