【Abstract】 Objective To study the clinical effect of real-time accent method on speech fluency disorders inchildren with spastic cerebral palsy. Methods A total of 44 children aged 5～7 years with spastic cerebral palsy whomet the inclusion criteria from October 2020 to March 2021 were included and randomly divided into observationgroup and control group, with 22 cases in each group. The control group received routine speech rehabilitation train-ing, the observation group received real-time accent method on this basis. Each group received 10 times of training,30 minutes each time, at most once a day, which should be completed within 3 weeks. The speech fluency was eval-uated before and after the treatment. An adapted version of Singing standard sound by Liang Junbo was used as thetest material. The differences of speech fluency in speech rate, pause, prolongation,and repetition were comparedbetween the two groups under the task of imitation following language task, and the clinical efficacy was evaluated.Results Before treatment, there was no significant difference in speech rate, articulation rate, number of pauses,length of pauses, number of prolongations, length prolongations and repetitions between the two groups(all P>0.05),indicating that the two groups were comparable. After treatment, the seven indexes of speech fluency fune-tion of the two groups were statistically significant(all P<0.05), indicating that the speech fluency funetion of theobservation group(were 2.08±0.15,2.83±0.18,18.41±1.62,12.28±1.36,17.59±2.04,10.37±1.51,3.00±1.23,respectively)was significantly better than that of the control group(were 1.60±0.06,2.56±0.12,35.23±3.13,22.89±1.66,37.05士3.27,22.58±1.88,5.18±1.74,respectively). After treatment,the sevenindexes of speech fluency function in the observation group were significant better(all P<0.05) than those beforetreatment(were 1.55±0.15,2.50±0.33,36.55±3.57,24.32±3.27,35.50±4.15,20.62±3.24,5.82±2.72, respectively). There were no significant differences between pre- and post-treatment outcomes in the controlgroup(all P>0.05). This indicated that the speech fluency function of the observation group was significantly im-proved. Conclusion Real-time accent method can significantly improve the speech fluency function of speech fluency disorders children with spastic cerebral palsy.