不完全腭裂幼儿语言发育的研究

Evaluation of early language development in infants with cleft palate

目的评价8—15月龄不完全腭裂幼儿术前腭部解剖异常对早期语言发育的影响。方法8—15月龄符合条件的不完全腭裂患儿58名，按月龄分为四组：8～9月、10～11月、12—13月、14—15月。通过问卷调查对每一患儿的语言理解、语言表达和语言能力等三个方面进行评价，并将其与正常幼儿的评价结果进行统计学检验。结果四组患儿的语言理解得分与语言能力得分均小于正常幼儿，除8—9月龄组中患儿的得分与正常幼儿间的差异没有显著性外（P〉0．05），其他三组中患儿的得分与正常幼儿间的差异均有显著性（P〈0．05）；四组患儿的语言表达得分中，虽然前三组患儿的得分与正常幼儿问的差异没有显著性（P〉0．05），但14—15月龄组中患儿的得分与正常幼儿间的差异有显著性（P〈0．05）。结论不完全腭裂幼儿早期语言能力发育不足，对不完全腭裂患者不仅要早期手术，而且还要对其特殊性有足够的认识。

Objective To investigate the development of language comprehension and expression of yong children aged 8 months to 15 months with cleft palate. Methods Fifty-eight cleft palate cases aged 8 months to 15 months were interviewed, which were divided into four groups according to the age, 8-9 months, 10-11 months, 12-13 months and 14- 15months. The language comprehension and expression were evaluated by questionnaire. The scores of language comprehension and expression were compared between the patients and normal controls. Results All patients except the 8- 9 months group performed significantly poorly compared with the normal controls in language comprehension and language scores. The scores of language comprehension and expression were significantly different between the 14-15 months group and the normal control. Conclusion The development of language of yong children with cleft palate was delayed. Repair of cleft palate in early stage is important for the language development.