功能性构音障碍患儿语音错误模式及智力结构分析  

Analysis of speech error pattern and intelligence structure in children with functional articulation disorders

作　　者：颜廷岐 关丽君[1] YAN Tingqi;GUAN Lijun(Department of Rehabilitation Medicine,Shenyang Children's Hospital,Shenyang 110032,China)

机构地区：[1]沈阳市儿童医院康复医学科,沈阳110032

出　　处：《中国中西医结合儿科学》2021年第2期96-98,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的对功能性构音障碍患儿的语音特点、错误模式及智力结构进行分析,为制定语音康复方案提供基础。方法选取2018年1月至2019年1月于我院康复科接受诊治的功能性构音障碍患儿40例为观察组,同期选取健康体检儿童40例作为对照组。分析观察组患儿语音错误模式特点,并比较两组儿童智力结构的差异性。结果观察组患儿声母构音的错误模式主要包括置换、省略、扭曲等三种,其中以置换居多,其次为省略,扭曲较少,l、ch、t、c、zh等音的错误率均超过了70%,韵母中en、ing、ong、ang等音的错误率在15%以上,错误模式以置换为主。两组儿童总智商、言语智商评分比较差异无统计学意义(P>0.05);观察组操作智商低于对照组,差异有统计学意义(P<0.05)。结论功能性构音障碍患儿的语音错误模式以置换居多,其次为省略,扭曲较少,以声母为主;功能性构音障碍患儿存在智力结构发育不平衡,操作能力落后。Objective To analyze the speech characteristics,error patterns and intelligence structure of children with functional articulation disorders,and to provide a basis for the development of speech rehabilitation programs.Methods Forty children with functional articulation disorders were included as the observation group,who were treated in our hospital from Jan.2018 to Jan.2019,and 40 healthy children undergoing physical examination during the same period were included as the control group.The characteristics of speech error patterns in the observation group were analyzed,and the differences in the intelligence structure between the two groups were compared.Results The error patterns in the articulation of initial consonants mainly included substitution,ellipsis and distortion,with substitution as the most common type,followed by ellipsis,and there was less distortion.The error rates of consonants l,ch,t,c and zh were all more than 70%.The error rates of en,ing,ong and ang in the vowels were over 15%;the error patterns were mainly substitution,and there was less ellipsis and distortion.There was no statistical difference in the scores of total intelligence quotient(IQ)or speech IQ between the two groups of children(P>0.05).The operational IQ of the observation group was lower than that of the control group(P<0.05).Conclusion The speech error patterns in children with functional articulation disorders are mainly substitution,followed by ellipsis,and there is less distortion;most of them are initial consonants.There is developmental imbalance of intelligence structure in children with functional articulation disorders,and their operational ability is retarded.

关 键 词：功能性构音障碍 智力结构 错误模式 儿童 

分 类 号：R742.8[医药卫生—神经病学与精神病学]