Analysis of initial diagnosis of speech sound disorder and guardian’s self-awareness in child healthcare clinic

Objective To investigate initial diagnosis of children with Speech Sound Disorder(SSD) and their guardian' s selfawareness in child healthcare clinic, in order to provide evidence and suggestions for clinical diagnosis and treatment.Methods Totally 480 children with initial diagnosis of SSD in our hospital from January 2018 to December 2020 were recruited as research subjects. Their clinical data of gender, age, hearing, sound and speech, and behavior were collected. Their oral structure and response to the sound stimulation were examined. Their current status of SSD and guardian's self-awareness were analyzed.Results Articulator abnormality was not found among all subjects. Descriptive analysis to children's medical history of hearing and response to sound stimulation showed that the incidence of neurodevelopmental diseases(21. 15%) of the children with normal hearing was lower than that of children with conscious hearing abnormality(78. 85%), and the difference was statistically significant(P＜ 0. 05); The incidence of neurodevelopmental diseases in children with normal response to sound stimulation(25. 90%) was lower than that of children with abnormal sound response(47. 37%), and the difference was statistically significant(P＜ 0. 05).Conclusion SSD is frequently comorbid with neurodevelopmental disorders in children. The proportion of hearing loss in SSD children is also relatively high. Attention should be paid to their psychological development and behavioral cognition at the initial diagnosis. In addition, diagnostic hearing test and relevant description of guardians should be valued, developmental behavior evaluation should be combined, so as to promote clinical diagnosis and treatment for SSD children.