Sun Xi-bin, Qu Cheng-yi, Yang Lei, Yan Jia-mu, Xie Jian-wen, Chen Yi-qing, Long Mo, Liang Wei, Li Su-pei, Gao Shou-yan, Yin Dong-yi, Zhou Wen-pei, Shi Shuai, Hua Fang, Zhou Ben-li, Zhu Shao-ming, Wang Li, Feng Dai-hao, Zhou Lin
Centre of China Rehabilitation for Deaf Children, Beijing 100101, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Nov;24(11):1016-9.
To explore the prevalence of vision, mental, audibility, language, psychiatry, extremity, and influence factors in the 0 - 7 year olds.
A total number of 77,727 0 - 7 year old children living in Shenzhen city were tested with tree phase screening under the Chinese standard of evaluation in disabilities.
The prevalence of all disabilities was 5.59 per thousand (adjusted rate was 8.49 per thousand with a false negative of 3.1 per thousand ). The prevalence of mental disease was the highest (1.88 per thousand, with adjusted rate 3.43 per thousand ), the prevalence of language disability was 1.88 per thousand (including retarded language development, with adjusted rate 3.43 per thousand ). The prevalence rates of psychiatry, extremity and audibility disability were 1.59 per thousand, 1.56 per thousand, 1.11 per thousand respectively with of vision the lowest (0.37 per thousand ). The prevalence of all disabilities, audibility, language and mental was on the increase with age. The difference was statistically significant. Among all different age groups regarding psychiatric disease, the highest fell in the 2 - 4 year olds. The prevalence of extremity was not statistically different among age groups. The suspected agents of disease which occurred before or during pregnancy took up 45.7%.
The prevalence of six kinds disabilities in Shenzhen was about 10 per thousand lower than that of the samples of the nation in 1989, but two times higher than that of similar studies in Japan. The prevalence rates of language and psychiatric disease were higher than that of the nation in 1989. The causation should be further studied.
探讨0至7岁儿童视力、智力、听力、语言、精神、肢体方面的残疾患病率及其影响因素。
按照中国残疾评定标准,对深圳市77727名0至7岁儿童进行三期筛查。
各类残疾总患病率为千分之5.59(校正率为千分之8.49,假阴性率为千分之3.1)。精神疾病患病率最高(千分之1.88,校正率为千分之3.43),语言残疾患病率为千分之1.88(包括语言发育迟缓,校正率为千分之3.43)。精神、肢体和听力残疾患病率分别为千分之1.59、千分之1.56、千分之1.11,视力残疾患病率最低(千分之0.37)。各类残疾、听力、语言和精神方面的患病率均随年龄增长而上升,差异有统计学意义。在所有不同年龄组的精神疾病中,2至4岁儿童患病率最高。各年龄组肢体残疾患病率差异无统计学意义。孕期及孕前可疑致病因素占45.7%。
深圳市六种残疾患病率比1989年全国抽样调查结果低千分之10左右,但比日本同类研究结果高二倍。语言和精神疾病患病率高于1989年全国水平,其病因有待进一步研究。