听力学及言语疾病杂志2024,Vol.32Issue(5) :441-444.DOI:10.3969/j.issn.1006-7299.2024.05.012

114例功能性构音障碍儿童舌根音异常的自愈情况分析

Analysis of Self-healing of 114 Children with Functional Dysarthria with Abnormal Root Sound

郎春梅 高映勤 邵华 陈泉东 李果
听力学及言语疾病杂志2024,Vol.32Issue(5) :441-444.DOI:10.3969/j.issn.1006-7299.2024.05.012

114例功能性构音障碍儿童舌根音异常的自愈情况分析

Analysis of Self-healing of 114 Children with Functional Dysarthria with Abnormal Root Sound

郎春梅 1高映勤 1邵华 1陈泉东 1李果1
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作者信息

  • 1. 云南省儿童重大疾病研究重点实验室,云南省儿童医学中心,昆明市儿童医院耳鼻喉科嗓音言语疾病诊治研究室,昆明市嗓音中心,昆明市儿童先天出生缺陷防控研究重点实验室(昆明 650100)
  • 折叠

摘要

目的 研究4~12岁不同年龄未经构音训练的舌根音异常患儿的自愈情况,以期为患者制定合适的康复方案.方法 回顾性分析昆明市儿童医院2019~2020年114例功能性构音障碍(FAD)且含有舌根音异常的儿童,拒绝行康复训练仅长期门诊回访,1年后对患儿舌根音再次评估,分析患儿舌根音自愈情况与年龄和错误形式之间的关系.结果 114例舌根音异常儿童首次就诊时共错误287频次,其中有35例(30.70%)自愈.按年龄分:各年龄组自愈率由高到低依次为4~5岁组19例(45.24%)、5~6岁组13例(27.08%)、6~7岁组2例(14.29%)、7~12岁组1例(10.00%),各年龄组自愈率差异有统计学意义(x2=8.254,P=0.041).按辅音错误形式,辅音脱落自愈率最高(41.46%),辅音替代次之(40.76%),辅音歪曲最低(16.67%),三种错误形式自愈率差异有统计学意义(x2=10.003,P=0.007).按照不同舌根音分:/h/音自愈率最高(31/60.78%),/k/音次之(40,32.26%),/g/音最低(35,31.25%),三个舌根音自愈率差异有统计学意义(x2=15.172,P<0.001).男性患儿与女性患儿自愈率差异无统计学意义(x2=1.311,P=0.252).结论 FAD患儿舌根音自愈率与年龄、错误形式及错误的舌根音有关,与性别无关.

Abstract

Objective To investigate the self-healing status of children with abnormal tongue root sounds at different age stages of 4 to 12 years old who have not received articulation training,and to provide correct guidance plans for patients.Methods Through retrospective analysis,114 cases of children diagnosed with functional dysar-thria and abnormal root of tongue in Kunming children's hospital from 2019 to 2020 who refused to do rehabilitation training but could receive long-term outpatient follow-up visit,were selected.The follow-up visit was conducted one year later to reevaluate the root of tongue of the children,and the relationship between the self-healing situation of the children's root of tongue and age and wrong form was statistically analyzed.Results Among the 114 children with abnormal root sound,35 cases(30.70%)healed by themselves.The self-healing rates of each age group were as follows:4~5 years old(45.24%),5~6 years old(27.08%),6~7 years old(14.29%),7~12 years old(10.00%).The self-healing rate of all age groups was significant(x2=8.254,P=0.041).There were 287 fre-quency of errors in 114 cases,among which the self-healing rate of consonant loss was the highest(41.46%),fol-lowed by consonant substitution(40.76%),and consonant distortion was the worst(16.67%).The overall differ-ence of the three error forms was statistically significant(x2=10.003,P=0.007).According to different root sounds,the self-healing rate of/h/sound was the highest(31/60.78%),followed by/k/sound(40,32.26%),and/g/sound was the worst(35,31.25%).There was significant difference among the three root sounds(x2=15.172,P<0.001).There was no significant difference in the self-healing rate between male and female children(x2=1.311,P=0.252).Conclusion The rate of root sound healing in children with functional articulation disor-der was related to age,wrong form and wrong root sound,but not gender.

关键词

功能性构音障碍/舌根音/儿童/自愈

Key words

Functional dysarthria/Tongue root sound/Children/Self-healing

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出版年

2024
听力学及言语疾病杂志
武汉大学人民医院

听力学及言语疾病杂志

CSTPCDCSCD北大核心
影响因子:1.16
ISSN:1006-7299
参考文献量14
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