多位一体构音错误矫治训练在功能性构音障碍患儿中的应用  

Effects of multiple integration correction training for articulation disorder in children with functional alalia disorders

作　　者：徐丹[1] 严春玲[1] 俞辉明[1] 王如 孙月 Xu Dan;Yan Chuning;Yu Huiming;Wang Ru;Sun Yue(Department of Oral and Maxillofacial Surgery,the Affiliated Huaian First People's Hospital of Nanjing Medical University,Huaian223300,China)

机构地区：[1]南京医科大学附属淮安第一医院口腔颌面外科,淮安223300

出　　处：《中华现代护理杂志》2023年第2期261-265,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨多位一体构音错误矫治训练在功能性构音障碍(FAD)患儿中的应用价值。方法采用便利抽样法, 选取2020年1月—2021年6月在南京医科大学附属淮安第一医院接受语言功能训练的68例FAD患儿为研究对象, 采用随机数字表法将患儿分为对照组和观察组, 各34例。对照组实施常规语音训练, 观察组在对照组基础上实施多位一体构音错误矫治训练。比较两组构音器官运动功能以及干预前(T1)、干预3个月(T2)、干预6个月(T3)构音音节评定结果及言语功能恢复的差异性。结果干预后, 观察组构音器官运动功能中, 最长发音时间、头部控制、唇力度、舌外伸范围、唇左右摆动力度均高于对照组, 差异有统计学意义(P<0.05)。T1、T2、T3时, 两组患儿构音音节评定结果存在交互、组间、时间效应, 差异有统计学意义(P<0.05);两组患儿改良的Frenchay构音障碍评价量表(FDA)评分存在交互、组间、时间效应, 差异有统计学意义(P<0.05)。结论 FAD患儿实施多位一体音错误矫治训练可改善发音器官运动功能及构音音节复述能力, 从而促进患儿言语功能的恢复。Objective To explore the effect of multiple integration correction training for articulation disorder in children with functional alalia disorders(FAD).MethodssFrom January2020to June2021,68 children with FAD who received language function training in the Affiliated Huaian First People's Hospital of Nanjing Medical University were selected by convenience sampling.The children were divided into control group and observation group with the method of random number table,34 cases each.The control group received routine speech training,while the observation group received multiple integration correction training for articulation disorder on the basis of the control group.The motor function of articulation organs,articulation syllable assessment results and speech function recovery were compared between the two groups before intervention(T1),three months after intervention(T2)and six months after intervention(T3).Results After intervention,the longest articulation time,head control,lip strength,tongue extension range,left and right lip swing power of the observation group were higher than those of the control group,with statistical differences(P<0.05).At T1,T2 and T3,there were interaction,inter group and time effects in the assessment results of articulation syllables of children in the two groups,and the differences were statistically significant(P<0.05).The scores of the modified Frenchay Dysarthria Assessment(FDA)in the two groups had interaction,inter group and time effects,and the differences were statistically significant(P<0.05).Conclusions In FAD children,the implementation of multiple integration correction training for articulation disorder can improve the motor function of articulation organs and the ability of articulation syllable repetition,thereby promoting the recovery of the children's speech function.

关 键 词：儿童 功能性构音障碍 多位一体 构音错误 矫治训练 构音器官运动功能 构音音节 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]