44例5~7岁痉挛型脑瘫儿童言语流利性障碍的临床特征

Clinical characteristics of speech fluency disorder in 44 children with spastic cerebral palsy aged 5 to 7 years

目的 基于看图说话语言任务,分析上海市5~7岁痉挛型脑瘫儿童言语流利性障碍的临床特征,为解决言语不流利性问题提供参考依据。方法 2020年11—12月在上海地区选取符合纳入标准的5~7岁痉挛型脑瘫儿童与普通儿童各44例为研究对象,以《做家务》主题图片作为测试材料收集语音样本,比较两组儿童在看图说话语言形式下语速、停顿、拖延与重复的言语流利性特征差异。结果 痉挛型脑瘫儿童的言语速率、构音速率得分低于普通儿童,差异有统计学意义(t=-44.288、-25.665,P<0.05);而异常停顿次数、异常停顿时长、拖延次数、拖延时长与重复次数得分高于普通儿童,差异有统计学意义(t=28.891、39.188、28.960、18.393、26.246,P<0.05)。结论 5~7岁痉挛型脑瘫儿童在连续语音过程中存在典型的言语流利性障碍特征,表现为语速偏慢、异常停顿、异常拖延与异常重复等问题。

Objective To analyze the clinical characteristics of speech fluency disorder in children with spastic cerebral palsy aged 5-7 years based on the language task of talking about pictures, so as to provide reference for improving speech fluency. Methods From November to December 2020, 44 children with spastic cerebral palsy and 44 typically developed(TD) children in Shanghai who met the admission standards were enrolled in this study. The theme pictures of doing housework were used as test materials to collect voice samples. The differences in speech rate, pause, prolongation and repetition between children in two groups were analyzed. Results The speech rate and articulation rate of children with spastic cerebral palsy scored significantly lower than those of TD children(t=-44.288,-25.665, P<0.05), while the number of abnormal pauses, the length of abnormal pauses, the number of prolongations, the length of prolongations and the number of repetitions of children with spastic cerebral palsy scored significantly higher than those of TD children(t=28.891, 39.188, 28.960, 18.393, 26.246, P<0.05). Conclusion Children with spastic cerebral palsy aged 5 to 7 years have typical characteristics of speech fluency disorder in the process of continuous speech, such as slow speech rate, abnormal pause, prolongation and repetition.