基于构音训练的语言康复训练对听障儿童听觉言语能力及智力发育的影响  

Effects of Speech Rehabilitation Training Based on Articulation Training on Hearing,Speech Ability and Intelligence Development of Children with Oral Resonance Disorder

作　　者：朱云[1] 韩鹏 张少强[1] 邵渊[1] 邢娟丽[1] 巩晓宏[2] ZHU Yun;HAN Peng;ZHANG Shao-qiang;SHAO Yuan;XING Juan-li;GONG Xiao-hong

机构地区：[1]西安交通大学医学院第一附属医院,西安710061 [2]西安市中心医院,西安710021

出　　处：《中国听力语言康复科学杂志》2024年第1期87-90,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的探讨基于构音训练的语言康复训练对听障儿童听觉言语能力及智力发育的影响。方法选择2019年2月至2021年3月本院收治的伴口腔共鸣障碍语前聋听障儿童,采用随机数字表法分为观察组(40例)及对照组(39例),两组患儿均进行常规康复干预,观察组在对照组基础上进行基于发音器官运动功能矫正训练。对比分析干预前后患儿脑干听觉诱发电位、口腔共鸣参数,采用《听障儿童听觉及语言能力评估标准及方法》及Gesell儿童发育量表对患儿听觉言语能力及智力发育情况进行评估。结果(1)两组患儿干预后Ⅰ波、Ⅲ波、Ⅴ潜伏期均显著延长(P<0.05),观察组Ⅰ波、Ⅲ波、Ⅴ波潜伏期显著高于对照组(P<0.05)。(2)两组患儿干预后共振峰/a/F_(1)、/i/F_(2)值显著升高,/u/F_(2)值显著降低(P<0.05),观察组干预后/a/F_(1)、/i/F_(2)值显著高于对照组(P<0.05),/u/F_(2)值显著低于对照组(P<0.05)。(3)两组患儿干预前听觉能力、言语能力及Gesell量表语言行为、适应行为等维度得分比较无显著差异(P>0.05),观察组干预后各项得分显著高于对照组(P<0.05)。结论基于构音训练的语言康复训练可改善听障儿童口腔共鸣障碍,提高听觉言语能力及智力发育。Objective To explore the effects of speech rehabilitation training based on articulation training on the hearing,speech ability and intelligence development of children with oral resonance disorder.Methods Children with preverbal deafness and hearing disorder of oral resonance disorder admitted to our hospital from February 2019 to March 2021 were selected as the research objects,and were divided into the observation group(40 cases)and the control group(39 cases)by the random number table method.Both groups received routine rehabilitation intervention.The observation group received speech rehabilitation training based on articulation organ motor function correction on the basis of the control group.The brainstem auditory evoked potential was measured before and after intervention,and the oral resonance parameters were analyzed by recording equipment and software.The hearing and language competence and intelligence development of children with hearing impairment were evaluated by the Standards and Methods of Hearing and Language Competence Assessment for Children with Hearing Impairment and Gesell Child Development Scale.Results①The latency of wave Ⅰ,wave Ⅲ and wave Ⅴ in the two groups were prolonged after intervention(P<0.05),and the latency of wave Ⅰ,wave Ⅲ and wave Ⅴ in the observation group were higher than those in the control group(P<0.05).②After intervention,formant/a/F_(1) and/i/F_(2) values were increased and/u/F_(2) values were decreased in the two groups(P<0.05).After intervention,formant/a/F_(1) and/i/F_(2) values in the observation group were higher than those in the control group(P<0.05),and/u/F_(2) values were lower than those in the control group(P<0.05).③There were no statistically significant differences in the scores of auditory ability,speech ability,language behavior and adaptive behavior of Gesell scale between the two groups before intervention(P>0.05),and the scores of each item in the observation group were higher than those in the control group after intervention(P<0.05)

关 键 词：构音训练 听障儿童 口腔共鸣障碍 听觉言语能力 智力发育 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]