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目的:探讨儿童原发性遗尿症(PNE)与学习障碍的相关性。方法:选择确诊儿童PNE 60例为观察组,另选择同期在我院门诊体检正常儿童60例为对照组。采用学习障碍儿童筛查量表(PRS)进行学习障碍测评,自制早期发育和家庭环境状况问卷进行相关影响因素调查,并分析两者的相关性及其影响因素。结果:观察组学习障碍发生率为16.6%,显著高于对照组的3.3%(P<0.05)。单因素χ~2检验结果显示,遗尿严重程度、父母对遗尿的态度、一级亲属遗尿史、父母文化程度、因尿床感到自责害羞、午睡习惯及心理社会紧张因素差异显著(P<0.05)。Logistic逐步回归分析结果显示,父母文化程度、父母对遗尿的态度、一级亲属遗尿史、因尿床感到自责害羞、心理社会紧张因素、遗尿严重程度进入以PNE儿童发生学习障碍为因变量的回归方程(P<0.05,P<0.01)。结论:PNE儿童学习障碍的发生率显著高于正常儿童。PNE学习障碍与一级亲属遗尿史、遗尿严重程度、因尿床自责害羞、心理社会紧张因素、父母文化程度及父母对尿床态度等显著相关。
Objective: To investigate the correlation between children with primary enuresis (PNE) and learning disabilities. Methods: Sixty children with confirmed PNE were selected as the observation group. Another 60 normal children in our hospital were selected as the control group. The Learning Disability Assessment Scale, Self-made Early Development and Family Environment Questionnaire were used to investigate the related factors and their correlations with the PRS. Results: The incidence of learning disability in observation group was 16.6%, which was significantly higher than that in control group (3.3%, P <0.05). The result of single factor χ ~ 2 test showed that there were significant differences in the severity of enuresis, the attitude of parents to enuresis, the history of first-degree relatives’ urine enuresis, the educational level of parents, the self-blame and shyness of bed-wetting, the habit of nap and the psychosocial tension (P < . Logistic stepwise regression analysis showed that parents ’education of enuresis, attitude towards enuresis, first-degree relatives’ history of urinary incontinence, self-blame and shyness due to bed-wetting, psychological and social stress factors, and the severity of enuresis entered regression of children with learning disabilities due to PNE Equation (P <0.05, P <0.01). Conclusions: The incidence of PNE children with learning disabilities is significantly higher than that of normal children. PNE learning disabilities and first-degree relatives of the history of enuresis, the severity of enuresis, bed-ridden self-blame shy, psychological and social stress, parental education level and parents were significantly related to bed-wetting.