婴幼儿语言发育迟缓的临床分析  

A clinical analysis of developmental language delay in infants

作　　者：张婕[1] 邵冬冬[1] 左雪梅[1] 陈艳妮[1] 贺莉[1] 

机构地区：[1]西安市儿童医院康复保健科,陕西西安710002

出　　处：《中国妇幼健康研究》2009年第5期517-519,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的 探讨婴幼儿期语言发育迟缓儿童的病因和干预效果。方法 用S-S语言发育评定法及Gesell智能评估法对113例3岁以内语言发育迟缓的患儿进行评估，制定干预措施，评价疗效。结果 3岁以内语言发育迟缓患儿中特异性口语表达迟缓较为常见（45%），该类儿童经训练后，语言发育商由45.80±16.90上升到88.51±9.51，经比较有统计学意义（t=-15.70，P〈0.01）。精神发育迟滞及孤独症患儿在3岁以内语言发育迟缓者中仍占多数（分别为28%和27%），经过系统训练后，该类儿童的语言发育商也能够得到明显的提高，与训练前比较，其语言发育商由43.91±16.36提高54.52±16.04，经比较有统计学意义（t=-3.67，P〈0.01），但大部分患儿无法得到完全恢复。结论 早期发现和早期干预对于语言发育迟缓儿童的康复至关重要。Objective To investigate cause and intervention effect of developmental language delay in infants. Methods 113 children with developmental language delay aged under 3 years were evaluated by using Sign-Significant Relations（S-S method） Evaluation and Gesell Intelligence Development Schedules. Intervention was formulated and conducted for those children after being diagnosed and training effects were assessed after 1 year. Results Specific expressive language delay（SELD, without deficits in receptive language） was a common developmental language delay（accounting for 45%）. After training, their development quotient（DQ） of language rosed from 45.80±16.90 to 88.51±9.51, and there was a significant difference（t=-15.70, P〈0.01）. The children with mental retardation and autistic disorders were still accounted for majority of children with developmental language delay aged within 3 years（28% and 27%, respectively）. Their DQ of language rosed from 43.91±16.36 to 54.52±16.04, and there was also a significant difference before and after training（t=-3.67, P〈0.01）. But most of these children could not get a complete recovery. Conclusion Early identification and early intervention are most important for rehabilitation of those children with developmental language delay.

关 键 词：婴幼儿 语言发育迟缓 特异性口语表达迟缓 干预 

分 类 号：R729[医药卫生—儿科] R174[医药卫生—临床医学]