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儿科语音门诊:临床与流行病学特征。

Pediatric phoniatry outpatient ward: clinical and epidemiological characteristics.

机构信息

Training programs in Phoniatry and Hearing Electrophysiology - DERDIC/PUCSP, Brazil.

出版信息

Braz J Otorhinolaryngol. 2013 Mar-Apr;79(2):163-7. doi: 10.5935/1808-8694.20130029.

DOI:10.5935/1808-8694.20130029
PMID:23670320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9443823/
Abstract

UNLABELLED

Children with language or learning impairment and normal hearing need phoniatric assessment to analyse various communication and development aspects targeting the differential diagnosis and therapeutic indications.

OBJECTIVE

Characterize clinical and epidemiological features of a pediatric population treated in a phoniatric outpatient clinic.

METHOD

A cross-sectional historical cohort study (retrospective study) was performed involving 68 patients undergoing phoniatric consultation. Outcome measures were age, gender, source of referral for phoniatric consultation, phoniatric diagnosis, mean age at diagnosis, neonatal risks, family history of communication disorders and referrals.

RESULTS

70.58% were male and 29.42% female, mean age 6.85 ± 2.49 years. 63.23% from external services and 45.59% had no hearing diagnosis. 14 different diagnoses were performed: 50% had Cerebral Palsy, Specific Language Impairment and Pervasive Developmental Disorder. The difference between the average ages was statistically significant (F = 4.369 p = 0.00). 50% had a family history of communication disorders and 51.47% history of neonatal risk. 51.47% were referred for neurological consultation and 79.41% for therapies.

CONCLUSION

The population seen was predominantly male, with more complex language development deviations probably due to multiple etiologies. Many of them had no hearing diagnosis.

摘要

未注明

有语言或学习障碍且听力正常的儿童需要语音评估,以分析各种沟通和发展方面,旨在进行鉴别诊断和治疗指示。

目的

描述语音门诊治疗的儿科患者的临床和流行病学特征。

方法

进行了一项横断面历史队列研究(回顾性研究),涉及 68 名接受语音咨询的患者。结局指标为年龄、性别、语音咨询转诊来源、语音诊断、诊断时的平均年龄、新生儿风险、家族沟通障碍史和转诊情况。

结果

70.58%为男性,29.42%为女性,平均年龄 6.85±2.49 岁。63.23%来自外部服务,45.59%无听力诊断。进行了 14 种不同的诊断:50%患有脑瘫、特定语言障碍和广泛性发育障碍。平均年龄的差异具有统计学意义(F=4.369,p=0.00)。50%有沟通障碍家族史,51.47%有新生儿风险史。51.47%被转介到神经科咨询,79.41%接受治疗。

结论

就诊人群主要为男性,语言发育障碍更为复杂,可能有多种病因。他们中的许多人没有听力诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6575/9443823/321f366acfd8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6575/9443823/321f366acfd8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6575/9443823/321f366acfd8/gr1.jpg

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