文章摘要
杜志宏,毛丽珈,彭炳蔚,杨思渊,黄志芳.不同年龄段功能性构音障碍儿童错误辅音分析[J].中国康复,2014,29(5):328-330
不同年龄段功能性构音障碍儿童错误辅音分析
Characteristics of children with functional dysarthria pronouncing constants among different ages
  
DOI:
中文关键词: 功能性构音障碍  辅音
英文关键词: functional dysarthria  consonant
基金项目:国家自然基金(81372113);广东省产学研项目资助(32712014)
作者单位
杜志宏 广州市妇女儿童医疗中心神经&康复科广州 510623 
毛丽珈 香港中文大学威尔斯亲王医院神经内科香港 999077 
彭炳蔚 广州市妇女儿童医疗中心神经&康复科广州 510623 
杨思渊 广州市妇女儿童医疗中心神经&康复科广州 510623 
黄志芳 广州市妇女儿童医疗中心神经&康复科广州 510623 
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中文摘要:
  目的:研究功能性构音障碍儿童错误辅音在不同年龄段内的具体表现,了解错误辅音在大年龄组儿童中是否存在好转或自愈倾向。方法:采用中国康复研究中心研制的汉语构音障碍评定法,按照6种不同发音部位(唇音、舌尖中音、舌根音、舌面音、舌尖前音、舌尖后音)的辅音分类方法,对不同年龄段功能性构音障碍儿童的错误辅音进行分析,收集3个年龄段6种不同发音部位发生错误构音的人数和未发生错误构音的人数。结果:90例患者在唇音发音时,不同等级错音个数时的人数分布状况在4岁年龄段、5岁年龄段以及6岁以上年龄段3个不同年龄段的人数分布差异无统计学意义。6种不同发音部位中,只有当患者在舌尖后音发音时,患者辅音构音错误和未发生辅音构音错误人数分布在3个不同年龄段之间在统计学上存在显著性差异(P=0.018)。其余5种发音部位发音时,3个不同年龄段差异无统计学意义。结论:辅音构音错误在大年龄段内无好转或自愈倾向。一旦发现儿童存在辅音构音错误应该及时诊治,尽早接受语音康复训练。
英文摘要:
  Objective:To study the characteristics of children with functional dysarthria pronouncing consonants among different ages,to understand whether they will be improved or cured along with age.Methods:The dysarthria examination scale from China Rehabilitation Research Center was applied in this study.Based on the different pronouncing parts,the constant pronunciations were clustered to six groups (i.e. labial consonant; supradental consonant;blade-alveolar consonant;blade-palatal consonant;lingua-palatal consonant;velar consonant);the children with functional dysarthria were divided into three age groups.The ratio of children pronouncing constants incorrectly and correctly was analyzed. Results: For the rate of pronouncing constants incorrectly among 90 cases,there was no statistically significant difference among four-year,five-year and older than six years groups. For the analysis of six pronouncing parts,the statistical significance was only found in pronouncing blade-palatal consonant among three age groups (P=0.018),and the rest five pronouncing parts did not have statistically significant difference. Conclusion: The symptoms will not be improved or cured naturally with age. Immediate treatment should be conducted once the diagnosis of functional dysarthria is made.
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