功能性构音障碍儿童构音特点分析及言语矫治

Analysis of Articulation Errors and Speech Therapy in Children with Functional Articulation Disorders

目的:探讨功能性构音障碍儿童错误构音的特点及言语矫治方案。方法:对52例功能性构音障碍儿童进行构音评价,分析错误构音的特点,针对性制定矫治方案并进行言语矫治。结果:52例儿童主要的构音错误方式为置换音,其次为省略音和/或扭曲音,其中声母的构音错误占绝大多数,主要为舌尖音、舌尖后音、舌尖前音及舌根音。经2周-7个月的言语矫治,45例全部纠正,7例部分纠正,治愈率86.5%。结论:置换音是儿童功能性构音障碍最主要的构音错误方式;言语矫治是治疗功能性构音障碍的有效措施,矫治效果与构音障碍严重程度及依从性有关。

Objective：To explore the clinical characteristics of articulation errors and rehabilitation treatment methods in children with functional articulation disorders. Methods：Fifty-two children with functional articulation disorder were assessed and treated. The assessment of articulation was conducted according to the examination methods specified in China Rehabilitation Research center edition. Results： The main erroneous articulation pattern was substitution, followed by omission and/or distortion. The main wrong sounds were apical, blade：palatal, dental and velar, and ＂1＂ was the most common error sound. Forty-five out of 52 children were corrected completely and 7 were corrected partially. Conclusion： The main erroneous articulation pattern of functional articulation disorder in children is substitution. The curative effects were satisfactory and were related to the degree of misarticulation and children＇ compliance.