功能性构音障碍患者侧化构音的语音特点及康复训练

Phonological Characteristics and Rehabilitation of Lateral Misarticulation in Children with Functional Articulation Disorders

目的探讨功能性构音障碍（FAD）患者侧化构音的语音特点及康复方法。方法选择2013年6月~2014年12月收治的44例FAD侧化构音的患者进行语音评估,分析其特点;对患者进行针对性的康复训练;对侧化构音与年龄和病情进行相关性分析。结果 FAD患者舌尖后音侧化构音频率最高（75.00%）,其他依次为舌尖前音（65.91%）、舌面音（56.82%）、舌尖中音（20.45%）。经过1~5个疗程的针对性康复训练,38例治愈,4例好转,总治愈率为86.36%（38/44）,其中轻度组治愈率为100%（11/11）,中度组治愈率为86.67%（13/15）,重度组治愈率为77.78%（14/18）;侧化构音字数与年龄（r=0.100,P=0.752）和病情（r=0.257,P=0.092）均无显著性相关。结论 FAD患者侧化构音主要发生于舌尖后音、舌尖前音、舌面音;针对性的语音康复训练是矫治FAD患者侧化构音的有效措施。

Objective To explore the phonological characteristics of lateral misarticulation in children with functional articulation disorders and the rehabilitation approaches for them. Methods From June, 2013 to December, 2014, 44 children with lateral misarticulation were assessed and the phonological characteristics of lateral misarticulation were analyzed. They accepted targeted rehabilitation training. The correlation was analyzed between lateral misarticulation and age as well as severity of disorder. Results The frequency of lateral misarticulation was the most in Blade-palatals（75.00%）, and then the dentals（65.91%）, lingua-palatals（56.82%） and blade-alveolar consonant（20.45%）.Thirty-eight cases were cured and 4 cases improved after 1 to 5 courses of rehabilitation. The overall cure rate was 86.36%（38/44）, and it was 100%（11/11）, 86.67%（13/15）, 77.78%（14/18） in those with mild, moderate and severe disorder, respectively. There was no significant correlation between lateral misarticulation and age（r=0.100, P=0.752） as well as severity（r=0.257, P=0.092）. Conclusion Lateral misarticulation in children with functional articulation disorders mainly occurs on blade-palatals, dentals and lingua-palatals. The targeted speech rehabilitation training is beneficial.