功能性构音障碍共病注意缺陷多动障碍儿童的语音治疗效果分析

发布时间：2018-11-11 12:47

【摘要】：目的探讨注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)对功能性构音障碍(functional articulation disorders,FAD)语音治疗效果的影响。方法选择在郑州大学第一附属医院语音治疗科就诊的110例FAD患儿为研究对象,依据DSM-ⅣADHD诊断标准,将同时患有ADHD的FAD患儿分为:注意障碍为主型(predominantly inattentive,I)、多动/冲动为主型(predominantly hyperactive-impulsive,HI)、混合型(combined type,C),比较FAD-I组、FAD-HI组和FAD-C组与单纯FAD组患儿语音治疗前后语音清晰度(PI)的差别。结果语音治疗前,各组间PI值的差异没有统计学意义(F=1.046,P=0.375);语音治疗后,各组间PI值的差异有统计学意义(F=73.726,P0.001)。进一步Q检验结果显示,FAD-I组、FAD-C组PI值低于单纯FAD组,差异有统计学意义(P0.05),单纯FAD组和FADHI组差异无统计学意义(P0.05);FAD-HI组PI值高于FAD-I组和FAD-C组,差异有统计学意义(P0.05)。结论ADHD的I和C亚型可能会降低FAD的语音治疗效果,或许需要在进行语音治疗的同时采取针对ADHD的相关治疗。
[Abstract]:Objective to investigate the effect of attention deficit hyperactivity disorder (attention deficit hyperactivity disorder,ADHD) on speech therapy of functional dysarthria (functional articulation disorders,FAD). Methods 110 children with FAD were selected from the Department of phonological Therapy of the first affiliated Hospital of Zhengzhou University as study subjects. According to the diagnostic criteria of DSM- 鈪，

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