The Investigation And Analysis Of The Reason And Related Situation About 227 Cases Of Deaf Children In Henan Province

Objective:Through the survey about 227 cases of deaf children in Henan province,to understand the cause of deaf children and all kinds of factors,the proportion of aggregate analysis of factors associated with the onset of deaf children,when they found the way,found that deaf/started to intervene in deaf children age,deaf children,parents accept the time needed for deaf and hearing parents examination period of preparedness,etc.)the status quo.In order to better congenital deaf children's early prevention,early detection and early diagnosis and treatment work to provide some reference.Methods:Reference to Chinese rehabilitation center for deaf children write the hearing impairment children rehabilitation series of children with history,after appropriate increase or decrease in the basic information for questionnaire design(table 1),the causes for questionnaire(table 2),the parents for relevant information form(table 3).Using the questionnaire to 2011-2015 in Henan province,rehabilitation center for deaf children rehabilitation of 227 cases of children and parents related situation investigation;Survey method mainly refer to the teaching records and attendance records,telephone survey verify and supplement.The collected information,summarized the entry Excel2003 software summary,statistical description and analysis on the data from application SPSS19.0 software.Results:1.The reason of disease about 227 cases of deaf children: according to the survey deafness factors include families accounted for 14.50%;The inner ear malformation accounted for 30.8%;History accounted for 19.40% infection during pregnancy,gestational application of ototoxic drugs accounted for 4.40%;Production accounted for 2.20%,premature birth dystocia accounted for 0.90%,the production of oxygen accounted for 7.50%,neonatal jaundice accounted for 0.90%;Children with otitis media accounted for 6.20%,the whole body disease accounted for 6.20%,children with infectious disease accounted for 0.40%;Except there are 20.7% of children have no obvious cause disease.In general,a larger proportion of congenital factors.2.Children disease related situation according to the survey:(1)found that deaf way including hearing screening,found poor perception and found three kinds of poor speech function;There is the offspring of the family history of genetic deafness patients by hearing screening found more deaf;(2)found that deaf when the average age was 15.56±10.60 months;With gender as the grouping variable,to compare two groups of men and women found that deaf when age,single factor variance analysis showed that P > 0.05,there was no statistically significant difference,male and female children with children deaf found no difference in age;To discover the ways to deafness as grouping variables,for comparison between groups found deafness age,single factor variance analysis showed P < 0.05,the difference was statistically significant,suggesting different deafness found ways to the discovery of deaf children when there are differences in age.When started to intervene in the treatment of their average age was 23.56±13.07 months,parents of deaf confirmed results the average time was 15.37±8.61 months;Will be started to intervene in the age and the parents accept time needed for diagnosis and Pearson correlation analysis results show that the P < 0.05,started to intervene in the age and the parents accept time needed for deafness diagnosis results into a significant positive correlation,suggest parents accept the shorter the time needed for deafness,deaf children started to intervene in the earlier time.(3)children with pure tone hearing threshold determination of value is an average of 102 ± 11.85 d B;The extremely severe sensorineural deafness with largest percentage(88.5%);The average hearing threshold was 71.19 ± 21.49 d B.Before 227 patients after intervention and intervention for threshold comparison difference was statistically significant(P < 0.01),the intervention measures to help deaf children listening.(4)found that after the first intervention treatment of distribution proportion for drug treatment(40.1%),acupuncture treatment accounted for 1.3%,wearing a hearing aid(13.2%),not the treatment accounted for 45.4%;After confirmed the main treatment interventions distribution proportion for drug treatment(0.04%),wearing a hearing aid(92.5%),cochlear implants(7%).(5)parents witting rate was 93.8%,the examination before checking the participation rate is 35.7%;Witting rate was 100%,the active participation of newborn hearing screening screening rate is 31.7%;Understanding of the genetic testing rate was 8.4%,the genes involved in inspection rate is 0%;Witting rate was 0.4%,of the amniotic fluid in the amniotic fluid detection rate of 0.4%;For different electronic products how much radioactive,ototoxic drugs harm,infectious disease,overall understanding of the fetal harm rate were 4.8%,10.6% and 14.5% respectively.Conclusion:1.227 cases of deafness factors for basic standards at home and abroad;2.Discover the ways to deafness include hearing screening,perception and found poor speech function;3.Most found that deaf time for late;Parents accept the shorter the time needed for deafness,deaf children started to intervene in the earlier time;4.Deafness is extremely severe sensorineural deafness more;Intervention therapy can help the hearing improvement;5.When the first option is mainly for drug therapy,choose to wear hearing AIDS diagnosis;6.Parents more deaf prevention measures for poor understanding and implementation.