S-S语言发育迟缓评价法与Gesell发育评估量表在幼儿语言评定应用中的对比  

Comparative study of S-S method and Gesell developmental scale in children's language assessment

作　　者：梁静[1] 王朝晖[1] LIANG Jing WANG Zhao-hui(Health Center of the Children of Xi＇an No. 4 Hospital,Xi＇an ,Shaanxi 710004,China)

机构地区：[1]西安市第四医院,陕西西安710004

出　　处：《中国儿童保健杂志》2017年第5期514-516,共3页Chinese Journal of Child Health Care

基　　金：陕西省科技厅自助项目(2011K14-04-01)

摘　　要：目的通过与S-S语言发育迟缓评价法比较,评估Gesell发育量表言语部分在早期语言筛查中的价值。方法选取2015年6月-2016年5月在西安市第四医院儿保科心理门诊就诊的儿童共130例为研究对象,男93例(71.54%),女37例(28.26%),年龄1.5~5岁,使用Gesell及S-S法进行评估。结果 1)整体一致性检验Kappa值0.639(P<0.05),灵敏度77.2%,特异性86.3%;2)轻度语言发育迟缓一致性检验Kappa值0.481(P<0.05)。3)按年龄分组进行S-S法评估,两组构成比差异有统计学意义(P<0.05),2岁前表达异常为主,2岁后理解异常比例增高。结论 1)Gesell发育量表可以作为较好的语言筛查工具。2)在语言评估中可将S-S语言发育迟缓评价法和Gesell发育量表结合使用,前者定性,后者可用于严重程度分级。3)应用Gesell发育量表对2岁前儿童进行语言筛查显示为边缘状态时,应进一步行S-S法明确。Object To explore the application of Gesell developmental scale-language part in language development e- valuation by the comparison with S-S method. Methods A total of 130 children aged from 1.5 to 5 years were selected in psychological clinics of Child Care Center in the Xi ＇an Fourth Hospital from June 2015 to May 2016. There were 93 （71.54%） boys and 37 （28.26 %） girls. Gesell developmental scale and S-S method were both used to evaluate language re- tardation degree. Results 1）Overall consistency check of Gesell developmental scale and S-S method in language retarda- tion showed^the Kappa score was 0. 639 （P〈0.05）, sensitivity was 77.2 %, specificity was 86.3 %. 2）Overall consistency check of Gesell developmental scale and S-S method in mild language retardation showed that the Kappa score was 0. 481 （P 〈0.05）. 3）S-S method in mild language retardation for two age groups showed that the constituent ratio of language charac- teristics had statistical differences （P〈0.05）. Children under 2 years old mainly had problem in language expression,while children above 2 years old mainly had problem in language comprehension. Conclusions 1）Gesell developmental scale can be used as a language development screening tool. 2）Gesell developmental scale and S-S method can be used in combination, S-S method can he used for qualitative, Gesell developmental scale can be used for severity classification. 3）S-S method should he used to ascertain diagnosis for the children under 2 years old whose language scores of Gesell developmental scale show margin state.

关 键 词：语言 发育迟缓 评估 

分 类 号：R179[医药卫生—妇幼卫生保健]