CAJ | 학술논문

目的探讨亚克汀病与社会文化型弱智儿童划界诊断的智力诊断指标.方法以秦巴山区7～14岁轻度碘缺乏病、社会文化环境不良和精神运动功能正常儿童为对象,用韦克斯勒量表测定儿童言语智商、操作智商和总智商,通过对儿童智力测验成绩(分数)的比较,寻找特异性的智力诊断指标.结果精神运动功能正常组与社会文化环境良好组儿童的言语智商(89.24±18.44与90.75±17.58)、操作智商(87.58±15.78与88.95±15.56)和总智商(87.42±17.84与89.02±17.18)分数比较.差异均无统计学意义(t值分别为1.14、1.19、1.24,P＞0.05);轻度碘缺乏病组儿童的操作智商、总智商低于社会文化环境不良组儿童(65.81±10.22与72.33±13.23、62.42±12.31与68.13±14.54).两组分数比较差异有统计学意义(t值分别为3.26、2.55,P＜0.01或＜0.05);轻度碘缺乏病组儿童言语智商与操作智商的平均分数差值为-0.32,二者比较差异无统计学意义(t=0.28,P＞0.05);社会文化环境不良组儿童平均分数差值为-2.91,二者比较差异有统计学意义(t=-3.59,P＜0.01).结论轻度碘缺乏病儿童智力特点为言语智商与操作智商平衡受损,社会文化环境不良儿童的智力特点为言语智商受损程度大于操作智商,可依据不同的受损特点,作为区分亚克汀病与社会文化型弱智儿童划界诊断的智力诊断标准.
목적 탐토아극정병여사회문화형약지인동화계진단적지력진단지표.방법 이진파산구7～14세경도전결핍병、사회문화배경불량화정신운동공능정상인동위대상,용위극사륵량표측정인동언어지상、조작지상화총지상,통과대인동지력측험성적(분수)적비교,심조특이성적지력진단지표.결과 정신운동공능정상조여사회문화배경량호조인동적언어지상(89.24±18.44여90.75±17.58)、조작지상(87.58±15.78여88.95±15.56)화총지상(87.42±17.84여89.02±17.18)분수비교.차이균무통계학의의(t치분별위1.14、1.19、1.24,P＞0.05);경도전결핍병조인동적조작지상、총지상저우사회문화배경불량조인동(65.81±10.22여72.33±13.23、62.42±12.31여68.13±14.54).량조분수비교차이유통계학의의(t치분별위3.26、2.55,P＜0.01혹＜0.05);경도전결핍병조인동언어지상여조작지상적평균분수차치위-0.32,이자비교차이무통계학의의(t=0.28,P＞0.05);사회문화배경불량조인동평균분수차치위-2.91,이자비교차이유통계학의의(t=-3.59,P＜0.01).결론 경도전결핍병인동지력특점위언어지상여조작지상평형수손,사회문화배경불량인동적지력특점위언어지상수손정도대우조작지상,가의거불동적수손특점,작위구분아극정병여사회문화형약지인동화계진단적지력진단표준.
Objective To investigate the intelligence standard for diagnose the sub-cretin children and children with mental retardation of socio-cultural type.Methods The full intelligence quotient(IQ),verbal intelligence quotient(VIQ)and performance intelligence quotient(PIQ)was tested by Wechsler scale(C-WISC)for mild iodine deficiency disordem children,children living in abnormal socio-cultural condition and normal children aged 7～14 years old in Qinba mountain area.The test results had been compared between the groups.Results There were no significant difference between psychomotor functioning well children and children living normal sociocuhural condition in VIQ,PIQ and full IQ(89.24±18.44 vs 90.75±17.58,87.58±15.78 vs 88.95±15.56,87.42±17.84 vs 89.02±17.18,t=1.14,1.19 and 1.24,respectively,all P＞O.05).PIQ and full IQ were significantly lower in mild iodine deficiency disorders children than in children with abnormal socio-cultural background (65.81±10.22 vs 72.33±13.23,62.42±12.31 vs 68.13±14.54,t=3.26,2.55,P＜0.01 or＜0.05,respectively).But the VIQ was not significantly different between these two groups.The average difference of VIQ and PIQ among mild iodine deficiency disorders children wag-0.32 without significant difierence(t=0.28,P＞0.05),however it was-2.91 among children under abnormal socio-cultural condition with significant difierenee(t=-3.59,P＜0.01).Conclusions IQ for iodine deficiency disorders children is characterized by that VIQ is damaged in parallel with PIQ,while that in children under abnormal soeio-cuhural condition is marked by that VIQ is retarded more severely than PIQ,which ean be used as an intelligence standard for differentiating the sub-cretin children from children wjth socio-cuhural mental retardation.