南京市1048例学龄期儿童快速自动命名和快速交替刺激测试的调查研究  

Investigation on rapid automatic naming and rapid alternating stimulus tests on 1048 school-aged children in Nanjing

作　　者：张敏[1] 解雅春[2] 杨蕾[2] 洪琴[2] 张蕾[2] 童梅玲[2] 池霞[2] Zhang Min;Xie Yachun;Yang Lei;Hong Qin;Zhang Lei;Tong Meiling;Chi Xia(Department of Pediatrics,Women's Hospital of Nanjing Medical University,Nanjing 210004,China;Department of Children Health Care,Women's Hospital of Nanjing Medical University,Nanfing 210004,China)

机构地区：[1]南京医科大学附属妇产医院儿科,210004 [2]南京医科大学附属妇产医院儿童保健科,210004

出　　处：《中华实用儿科临床杂志》2018年第23期1799-1802,共4页Chinese Journal of Applied Clinical Pediatrics

基　　金：国家自然科学基金(81671359);江苏省医学重点人才项目(RC2011022);江苏省第十四批“六大人才高峰”高层次人才选拔培养资助计划(WSN-165).

摘　　要：目的初步建立快速自动命名和快速交替刺激测试(RAN/RAS测试)学龄期本土化常模。方法采用随机分层抽样调查方法,利用RAN/RAS测试对南京市区8所小学的7~12岁儿童进行调查;RAN/RAS测试有6个测试条目,分别为物体、颜色、数字、汉字、数字及汉字混合、数字汉字颜色混合。结果1.共1048例儿童(男514例,女535例,男女比例为1.00:1.04)进行测试,分为6个年龄组。2.不同性别各测试条目(物体、颜色、数字、汉字、数字及汉字混合、数字汉字颜色混合)得分差异均无统计学意义(均P>0.05)。3.各个年龄组各个条目得分,随着年龄的增长而逐渐下降(P<0.001)。4.比较中英文物体、颜色和数字测试条目的结果发现,各个年龄组得分差异均有统计学意义(均P<0.001)。5.时间信度相关系数范围为0.84~0.92,重测信度相关系数范围为0.98~0.99;效度检测提示两两相关系数具有统计学意义(P<0.05)。结论本土化后RAN/RAS测试结果符合儿童生长发育规律,具有良好的信度和效度,可作为国内发展性阅读障碍的早期评估工具。Objective To develop norms for the rapid automatic naming and rapid alternating stimulus tests (RAN/RAS tests)on school children.Methods A multi-stage sampling procedure was used to select primary school students randomly from 8 schools in Nanjing,aged from 7 to 12 years old.The RAN/RAS tests included 6 classes of stimuli : objects,colors ,numbers,simplified Chinese characters,numbers and simplified Chinese characters mixture,numbers and simplified Chinese characters and colors mixture.Results (1)A total of 1048 students were randomly selected to participate in the study in 6groups,with sex ratio of 1.00:1.04.(2)The scores of the boys and girls did not differ significantly by any of the methods (objects,colors,numbers,simplified Chinese characters,numbers and simplified Chinese characters mixture,numbers and simplified Chinese characters and colors mixture)(all P>0.05).(3)On any of the measures in all groups ,the scores decreased as the age increasing(P<0.001).(4)Compared with the three -item scores (objects,colors,numbers)between Chinese and English,there were significant statistical differences among all age groups (all P<0.001).(5)Time reliability correlation coefficient ranged from 0.84 to 0.92,and retest reliability correlation coefficient ranged from 0.98to 0.99.The validity test showed that the correlation coefficient was statistically significant (P<0.05).Conclusions The scores of RAN/RAS tests norms have nice reliability and validity and are in line with the law of development.The norms derived in this study are recommended as the norm RAN/RAS scores for Chinese children.

关 键 词：阅读障碍 快速自动命名 儿童 学龄期 

分 类 号：R749[医药卫生—神经病学与精神病学]