非综合征性腭裂儿童语言理解与表达能力的研究

发布时间：2018-09-19 11:30

【摘要】：目的观察非综合征性腭裂(NSCP)儿童的语言理解与表达能力与同龄正常儿童相比是否存在差异,并分析可能的发生机制。方法对54例3~8岁居住于城市地区的NSCP儿童,按养育者受教育程度,以初中毕业为标准分为2组,养育者受教育程度初中毕业及以上的儿童记为NSCP-A组,养育者受教育程度初中毕业以下的儿童记为NSCP-B组,分别与相应的正常儿童(匹配年龄、性别、居住地和养育者受教育水平,记为正常对照A、B组),进行标准化语言能力测试(包括整体语言、语言理解、语言表达、语义和句法5个项目),观察NSCP组与正常对照组的测试结果是否存在差异。结果 NSCP组与正常对照组间的标准化语言能力测试得分的差异均有统计学意义(P0.05);NSCP组在语言表达和句法应用能力项目上的得分均低于正常对照组;NSCP-B组在句法项目上的得分均值低于常模正常值。结论与正常儿童相比,NSCP儿童对复杂语言结构的分辨和运用能力相对不足;养育者的受教育水平对患儿的语言能力有明显影响,养育者较高的受教育水平可以有效地提高NSCP患儿的语言表达和句法能力。因此,对NSCP儿童的序列治疗,应重视对患儿复杂语言结构运用能力的培养,以提高该群体的整体预后水平。
[Abstract]:Objective to investigate the differences in language comprehension and expression between children with non-syndromic cleft palate (NSCP) and normal children of the same age, and to analyze the possible mechanism. Methods 54 NSCP children aged 3 to 8 years living in urban area were divided into two groups according to the education level of the nurturer, and the children who graduated from junior middle school and above were counted as the NSCP-A group. Children below junior high school were classified as NSCP-B group and matched with normal children (matching age, sex, place of residence and education level of nurseries). The results of standardized language proficiency tests (including global language, language understanding, language expression, semantic and syntax) were recorded as normal control group B and observed whether there were differences between the NSCP group and the normal control group. Results the scores of standardized language proficiency test between NSCP group and normal control group were significantly different (P0.05) the scores of language expression and syntactic application ability in NSCP group were lower than those in normal control group NSCP-B group in syntactic items. The average score is lower than the normal value of the norm. Conclusion compared with normal children, NSCP children have less ability to distinguish and use complex language structures, and the educational level of nurturers has a significant effect on their language ability. The higher education level of nurturers can effectively improve the language expression and syntactic ability of children with NSCP. Therefore, in order to improve the overall prognosis of NSCP children, attention should be paid to the training of their ability to use complex language structures.
【作者单位】：深圳市儿童医院口腔科言语治疗室;香港大学言语及听觉科学系;
【基金】：深圳市科技创新委员会基础研究项目(JCYJ20140416141-331555,JCYJ20150403100317070) 深圳市卫生计生系统科研资助项目(201401056)~~
【分类号】：R782.22

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