孤独症谱系障碍儿童听力损失现状及其影响因素研究

颜田; 张肖; 刘逸远; 肖永涛

doi:10.3969/j.issn.1672-4933.2025.05.019

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孤独症谱系障碍儿童听力损失现状及其影响因素研究

康复教育 | 更新时间：2026-07-11

- 孤独症谱系障碍儿童听力损失现状及其影响因素研究
- The Current Situation and Influencing Factors of Hearing Loss in Children with Autism Spectrum Disorder
- 中国听力语言康复科学杂志 2025年23卷第5期页码：531-533
- 作者机构：
  
  1.浙江中医药大学研究生院杭州 310053
  2.湖北省中西医结合医院耳鼻咽喉科武汉 430015
  3.浙江中医药大学医学技术与信息工程学院听力系杭州 310053
- 作者简介：
  
  颜田在读硕士医师；研究方向：听力检测与耳聋
  肖永涛，E-mail：879039042@qq.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.05.019
  中图分类号： G762
- 收稿：2025-03-15，
  
  纸质出版：2025-09-15
- 稿件说明：
移动端阅览
颜田,张肖,刘逸远等.孤独症谱系障碍儿童听力损失现状及其影响因素研究[J].中国听力语言康复科学杂志,2025,23(05):531-533.

YAN Tian,ZHANG Xiao,LIU Yi-yuan,et al.The Current Situation and Influencing Factors of Hearing Loss in Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(05):531-533.
颜田,张肖,刘逸远等.孤独症谱系障碍儿童听力损失现状及其影响因素研究[J].中国听力语言康复科学杂志,2025,23(05):531-533. DOI： 10.3969/j.issn.1672-4933.2025.05.019.

YAN Tian,ZHANG Xiao,LIU Yi-yuan,et al.The Current Situation and Influencing Factors of Hearing Loss in Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(05):531-533. DOI： 10.3969/j.issn.1672-4933.2025.05.019.

摘要

目的

探究孤独症谱系障碍（ASD）儿童听力损失现状及影响因素。

方法

将2022年6月～2024年6月我院就诊的188例ASD儿童纳入研究，根据听力损失现状分为听力损失组和无听力损失组，分析ASD儿童听力损失现状的影响因素。

结果

188例ASD儿童中有54例确诊听力损失，发生率为28.72%，轻度听力损失38例（70.37%），中度听力损失16例（29.63%）；听力损失组和无听力损失组低出生体重、新生儿窒息、高胆红素血症史、父母听力损失病史、主要照护者文化程度比较无统计学意义（

＞0.05）；听力损失组早产、ASD家族史、耳部外伤或感染史比例显著高于无听力损失组（

＜0.05），家庭月收入显著低于无听力损失组（

＜0.05）；多因素Logistic回归分析显示，早产、ASD家族史、耳部外伤或感染史、家庭月收入低是ASD儿童听力损失的独立危险因素（

＜0.05）。

结论

临床应重视对听力损失高危ASD儿童的识别，给予针对性干预。

Abstract

Objective

To explore the current situation and influencing factors of hearing loss in children with autism spectrum disorder (ASD).

Methods

188 children with ASD who treated in our hospital from June 2022 to June 2024 were included in the study and divided into the hearing loss group and the non-hearing loss group according to the current status of hearing loss. The general data were collected and influencing factors of the current situation of hearing loss in children with ASD were analyzed.

Results

Among 188 children with ASD

54 were diagnosed with hearing loss (28.72%). There were 38 cases of mild hearing loss

accounting for 70.37%

and 16 cases of moderate hearing loss

accounting for 29.63%. There was no statistical significance in low birth weights neonatal asphyxia

history of hyperbilirubinemia

parents' history of hearing loss

and the educational levels of the main caregivers between the two groups (

0.05). The proportions of premature birth

family history of autism

and ear trauma or history of infection in the hearing loss group were significantly higher

while the monthly family income was significantly lower (

0.05). Multivariate Logistic regression analysis showed that preterm birth

family history of autism

ear trauma or history of infection

and low monthly family income were independent risk factors for hearing loss in children with ASD (

0.05).

Conclusions

Children with ASD have problems with hearing loss. Premature birth

family history of autism

ear trauma or history of infection

and low monthly family income may be the influencing factors for hearing loss in children with ASD. Clinically

attention should be paid to the identification of high-risk children with ASD for hearing loss and targeted intervention should be provided.

关键词

Keywords

references

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