脑瘫患儿构音障碍特点与言语治疗

Characteristics of Dysarthria in Children with Cerebral Palsy and Speech Therapy

对56例脑瘫患儿的构音运动和言语特点进行了分析与治疗。结果：45例患儿存在运动性构音障碍，发生率为80．4％，其中徐动型、失调型、痉挛型四肢瘫患儿构音障碍发生率高且程度较严重，痉挛型双瘫次之，偏瘫型则较少发生异常构音障碍；对其中45例患儿采用基础性训练、构音器官运动训练及构音训练后总有效率为91．0％。提示运动性构音障碍是影响脑瘫患儿言语的主要问题，早期正确评价和治疗具有重大意义。

The characteristics of articulation disorders in 56 children with cerebral palsy and speech therapy were investigated. Among the 56 children aged 20 to 60 months, 45 cases suffered from dysarthria with the rate being 80. 4%. It was found all of the children with athetosis. ataxia or tetraplegia had clinically serious dysarthria, where- as 41. 7 % of the children with diplegia had milder dysarthria. The children with dysarthria received the speech thera- py. The total effective rate was 91. 0 %. It was demonstrated that dysarthria was the main language problem in chil- dren with cerebral palsy and early assessment as well as early treatment was quite important.