22例先天性腭咽闭合功能不全患儿智力情况初探

Intelligence Evaluation of 22 Patients with Congenital Velopharyngeal Incompetence

目的对22例先天性腭咽闭合功能不全(CVPI)患儿进行智商测定,探讨CVPI患儿智力发育情况,为治疗提供依据。方法用韦氏智商测试(WPSSI,WISC-R)法对22例CVPI患儿进行智商检查,并与33例健康学生进行对照。结果22例CVPI患儿的智商范围为44～109分,平均67.46分;其中智商正常(IQ>70)者10例,占45.5%,异常(IQ<70)12例,占54.5%。智能障碍中大多数为轻度障碍,未见严重障碍。结论CVPI中许多患儿存在不同程度的智能障碍,有必要对患儿进行智商测试,并尽早进行干预治疗,从而提高其语音治疗效果。

Objective To study the intelligence of 22 patients with CVPI. Methods We examined the IQ of 22 patients with CVPI by Wechsler Primary Preschool Scale of Intelligence (WPSSI) and Wechsler Intelligence Scale for Children-Revised (WISC-R). Results The IQ of patients with CVPI was 44-109.The mean value and SD were 67.46±19.29 .Patients with normal IQ accounted for 45.5%. 54.5% of patients with CVPI had mental retardation (MR), most of which were mild. Conclusions More than half of the patients with CVPI showed MR. It's necessary to evaluate the intelligence in patients with CVPI, and give treatment as early as possible.