journal1 ›› 2020, Vol. 28 ›› Issue (9): 1024-1027.DOI: 10.11852/zgetbjzz2020-0596

Previous Articles     Next Articles

Analysis of clinical characteristics of functional articulation disorders in children at different age stages

HUANG Li-ping1,2, ZENG Pei-pei1,2, CHEN Ling1,2, XIONG Li1,2, ZENG Ting1,2, DENG Liang-qiong1,2   

  1. 1 Department of Child Health Care,Liuzhou Maternal and Child Health Care Hospital,Liuzhou,Guangxi 545001,China;
    2 Key Laboratory of Developmental Disorders in Children of Liuzhou,Liuzhou,Guangxi 545001,China
  • Received:2020-03-28 Online:2020-09-10 Published:2020-09-10
  • Contact: DENG Liang-qiong,E-mail:25116906@qq.com

不同年龄段儿童功能性构音障碍临床特征分析

黄丽萍1,2, 曾佩佩1,2, 陈玲1,2, 熊莉1,2, 曾婷1,2, 邓梁琼1,2   

  1. 1 柳州市妇幼保健院儿童保健科,广西 柳州 545001;
    2 柳州市儿童发育障碍疾病研究重点实验室,广西 柳州 545001
  • 通讯作者: 邓梁琼,E-mail:25116906@qq.com
  • 作者简介:黄丽萍(1993-),女,康复治疗师,学士学位,主要研究方向为儿童言语语言的评估与治疗。
  • 基金资助:
    广西医药卫生自筹经费计划课题(Z2016530);柳州市科学研究与技术开发计划课题(2017BD20201)

Abstract: Objective To analyze the clinical characteristics of functional articulation disorders in children at different age stages,so as to provide evidence and reference for intervention and treatment. Methods Totally 153 children were enrolled in this study and were divided into 4-year-old group,5-year-old group and 6- to 9-year-old group.Specific tests and treatment were carried out to analyze the error patterns and curative effect. Results The average numbers of consonant errors in 4-year-old group,5-year-old group and 6- to 9-year-old group were 9.3,7.8 and 6.5 units,respectively.The highest error rate was palatal consonant,about 90.8%.The commonest errors were pronouncing as retroflex and dental consonant,with error rates about 74.5% and 46.4%,respectively.The error rates of substitution,distortion and omission were 98.0%,62.7% and 7.2%,respectively.The degree of disorder,the pronunciation errors of labial,labiodental,retroflex,velar,and dental consonants,as well as the errors of pronouncing as inalveolar,plosive,affricate,unaspirated consonants and omission were significantly different among different age groups (P<0.05). Conclusions Age has an influence on the degree of articulation disorder.With the increasing of age,the pronunciation of most consonants improved,but most of the error patterns and curative effect are not affected.When developing the problem of functional articulation disorders,children should be treated as soon as possible regardless of age.

Key words: functional articulation disorders, pronunciation mistake, children

摘要: 目的 分析不同年龄段儿童功能性构音障碍的临床特征,为其干预治疗提供依据和参考。方法 将153例患儿分为4岁、5岁、6~9岁组,对其进行语音评估及治疗,分析错误特点及治疗效果。结果 4岁、5岁、6~9岁组患儿辅音错误平均个数分别为9.3、7.8、6.5个。舌尖后音错误率最高为90.8%;舌尖中音化及舌尖前音化错误常见,错误率分别为74.5%和46.4%;替代、歪曲及省略的错误率分别为98.0%、62.7%、7.2%。不同年龄间患儿功能性构音障碍程度,唇音、唇齿音、舌尖中音、舌根音、舌尖前音的发音错误,以及对舌面音化、塞音化、塞擦音化、不送气化和省略错误比较,差异均有统计学意义(P<0.05)。结论 构音障碍程度受年龄影响,且年龄的增长有利于改善辅音发音,但多数错误发音特点和治愈率不受年龄影响。儿童存在构音问题时,无论年龄大小都应及时就医诊治。

关键词: 功能性构音障碍, 发音错误, 儿童

CLC Number: