功能性构音障碍儿童音位对比式言语识别能力及语言呼吸功能研究  

The Research on Phonemic Contrastive Speech Recognition Ability and Speech Breathing Function of Children with Functional Articulation Disorder

作　　者：胡谊容 田松明 王平 赖闻 HU Yi-rong;TIAN Song-ming;WANG Ping;LAI Wen

机构地区：[1]重庆两江新区人民医院耳鼻喉科,重庆401121

出　　处：《中国听力语言康复科学杂志》2023年第3期302-305,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的分析功能性构音障碍儿童音位对比式言语识别能力及语言呼吸功能,探索其与构音障碍程度的相关性。方法选择2020年7月~2021年8月我院收治的46例功能性构音障碍儿童为病例组,同期选择我院体检正常的46例儿童为对照组。对比分析两组儿童的音位对比式言语识别能力和语言呼吸功能,使用Pearson相关分析功能性构音障碍儿童音位对比式言语识别能力和语言呼吸功能与构音障碍程度的关联性。结果病例组韵母评分(前鼻韵母-后鼻韵母、同开口同结构、同开口异结构、同结构异开口、总分)及声母评分(同部位异方式、卷舌音-非卷舌音、送气音-不送气音、声母总分)均显著低于对照组(P<0.05)。病例组最长发声时间(maximum phonation time,MPT)、最大数数能力(maximum count ability,MCA)、平均气流量(mean air flowrate,MAF)均显著低于对照组,s/z比值显著高于对照组(P<0.05)。病例组同开口同结构、同开口异结构、同结构异开口、韵母总分、同部位异方式、清辅音-浊辅音、擦音-无擦音、送气音-不送气音、声母总分、MPT、MFR和MCA均与构音障碍程度存在负相关,s/z比值与构音障碍程度存在正相关(P<0.05)。结论与同龄正常儿童相比,功能性构音障碍儿童的音位对比式言语识别能力及语言呼吸功能均相对较低,其言语识别能力及语言呼吸功能均与构音障碍程度存在负相关,临床应加强音位对比式言语识别能力及语言呼吸功能训练。Objective To explore the phonemic contrastive speech recognition ability and speech breathing function of children with functional articulation disorder,and to explore the correlation between them and the degree of articulation disorder.Methods Children with functional articulation disorder admitted to our hospital from July 2020 to August 2021 were selected as the case group(functional articulation disorder,n=46),and 46 children with normal physical examination in our hospital were selected as the control group(normal children,n=46).The phonemic contrastive speech recognition ability and speech breathing function of the two groups were compared and analyzed,and Pearson correlation analysis was used to explore the correlation between phonemic contrastive speech recognition ability and speech breathing function of the children with functional articulation disorder and the degree of articulation disorder.Results Vowel scores(front nasal vowel-back nasal vowel score,same opening and same structure score,same opening and different structure score,same structure and different opening score,total vowel score)and initial consonant scores(same parts and different ways score,retroflex-non-retroflex score,aspirates-unaspirated sound score and total consonant score)in the case group were lower than those in the control group(P<0.05).The maximum phonation time(MPT),mean flow rate(MFR)and maximum counting ability(MCA)in the case group were lower than those in the control group,and the s/z ratio was higher than that in the control group(P<0.05).Same opening and same structure score,same opening and different structure score,same structure and different opening score,total vowel score,same parts and different ways score,voiceless consonant and voiced consonant,fricative and non-fricative,aspirates-unaspirated sound score and total consonant score,MPT,MFR and MCA were negatively correlated with articulation disorder,while s/z ratio was positively correlated with the articulation disorder degree(P<0.05).Conclusion Compared with a

关 键 词：功能性构音障碍 音位对比 言语识别能力 语言呼吸功能 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]