口部定位疗法联合引导式教育治疗言语语言障碍儿童的疗效观察

Curative Effect of Oral Localization Therapy Combined with Conductive Education on Children with Speech-language Disorders

张玲;吴浪龙;康怀鑫;徐高红;

1:江西省儿童医院康复中心

2:南昌大学医院

摘要
目的 探讨口部定位疗法联合引导式教育治疗言语语言障碍儿童的临床疗效。方法 采用随机数字表法将2018年7月~2019年12月收治的84例言语语言障碍儿童分为对照组与观察组,每组42例。对照组给予常规言语训练,观察组给予常规语言训练的同时进行口部定位治疗联合引导式教育,1次/天,40分/次,5次/周,4周为1疗程,连续治疗3个疗程。治疗前后,分别采用简易口部运动功能量表、Frenchay汉语版构音障碍检测表、语音清晰度量表、Gesell发育量表评估两组患儿的口部运动功能、构音情况、语音清晰度、语言行为能力,并采用汉语儿童语言发育评定法(S-S)评估俩两组患儿的临床疗效。结果 治疗前,两组患儿的口部运动功能评分、构音、语音清晰度及语言行为评分比较,差异无统计学意义(P>0.05)。治疗3个疗程后,两组患儿的口部运动功能评分、构音、语音清晰度及语言行为评分均有明显改善,且观察组明显高于对照组,差异有统计学意义(P<0.05);对照组的治疗总有效率为73.81%,观察组为95.24%,两组比较差异有统计学意义(P<0.05)。结论 口部定位疗法联合引导式教育能明显促进言语语言障碍儿童康复,且疗效显著。

  【Abstract】 Objective To study the cinical effect of oral localization therapy combined with conductive education on children with speech-language disorders. Methods Using random number table method,84 children with speech-language disorder from July 2018~ December 2019 were divided into control group and observation group, with 42 cases in each group. The control group was given routine speech training, while the observation group was given oral localization therapy combined with conductive education on the basis of the control group, once daily for 40 minutes, 5 times a week, 4 weeks as 1 course of treatment, and 3 consecutive courses of treatment. Before and after treatment, respectively using simple oral movement function scale, Frenchay Chinese version of dysarthria detection table, voice clarity detection table, and Gesell growth detection table to evaluate the oral movement function, conformational situation,speech clarity, and language behavior ability of two groups. The language development assessment method of Chinese children(S-S) was used to evaluate the clinical efficacy of two groups of children.Results Before treatment, there was no significant difference between the two groups in oral motor function score, construction sound, speech clarity and language behavior score (P>0.05).After 3 courses of treatment, the scores of motor function, construction sound, speech clarity and language behavior of the two groups were significantly improved. The scores of the observation group were significantly higher than the control group,the difference was statistically significant (P<0.05).The total effective rate was 73. 81% in the control group and 95. 24% in the observation group. There was significant difference between the two groups (P<0.05).Conclusion Oral localization therapy combined with conductive education can significantly promote the rehabilitation of children with speech-language disorders, and the effect is significant.


关键词
口部定位治疗;引导式教育;言语语言障碍;儿童;疗效
基金项目(Foundation):
作者
张玲;吴浪龙;康怀鑫;徐高红;
参考文献

1 上官莉莉,赵亚茹.言语语言障碍儿童执行功能的研究现状[J].国际儿科学杂志,2016,43(5):401-404.

2 周浩,熊才运,刘烨,等.515例言语语言障碍患儿病因分析[J].听力学及言语疾病杂志,2019,27(5):477-480.

3 郑小斐,陈津津.300例语言障碍儿童的智能发育水平分析[J].中国当代儿科杂志,2016,18(11):1115-1118.

4 林陵,袁兰英.重复经颅磁刺激联合言语训练治疗儿童语言发育迟缓的效果及对患儿行为与认知的影响[J].临床医学工程,2020,27(5):545-546.

5 于萍.儿童言语语言障碍[J].中国听力语言康复科学杂志,2016,14(5):387-389.

6 梁静,王朝晖.S-S语言发育迟缓评价法与Gesell发育评估量表在幼儿语言评定应用中的对比[J].中国儿童保健杂志,2017,25(5):514-516.

7 王琳,王志丹,王泓婧.孤独症儿童动作发展障碍的神经机制[J].心理科学进展,2021,29(7):1239-1250.

8 慕俊杰,李彩霞.口部肌肉运动训练对孤独症患儿言语功能及注意力的影响[J].湖北民族学院学报·医学版,2019,36(2):88-89,92.

9 翟燕,王秀娟,宋小平,等.SRJ口肌训练法对脑瘫患儿摄食吞咽困难的疗效[J].中国康复,2012,27(6):425-425.

10 黄会青,黄卫平.引导式教育在中国[J].中国康复医学杂志,2003,18(4):232-233.

11 肖恋.口部肌肉训练和感知训练治疗孤独症儿童语言交流障碍的疗效观察[J].医学食疗与健康,2021,19(10):209-210.

12 闵志云,李峰,徐丽娜,等.强化口部肌肉训练对功能性构音障碍患儿语音清晰度的影响[J].听力学及言语疾病杂志,2018,26(1):8-11.

13 刘媛媛.引导式教育在小儿脑瘫康复治疗中的效果[J].反射疗法与康复医学,2021,2(6):76-79.

14 范晓春.引导式教育理念在脑瘫儿童康复护理中的实施效果探讨[J].中西医结合心血管病电子杂志,2020,8(17):123-123,125.

15 Law J,Garrett Z,Nye C.The effucacy of treatment for children with developmental speech and language delay/disorder:a meta-analysis[J].Journal of Speech,Language,and Hearing Research,2004,47(4):924-943.

16 李小娟,时盼姣.引导式教育和感统训练联合治疗对自闭症患儿的效果[J].国际精神病学杂志,2019,46(6):1036-1038.

17 陈雷平,王周阳.早期干预措施对儿童语言发育迟缓的影响分析[J].中国妇幼卫生杂志,2018,9(3):28-30.

18 曾爱珍.引导式教育的早期介入对脑瘫儿的影响[J].南华大学学报·医学版,2007,35(3):433-435.

19 张义宾,蒋忠心,张鸿启,等.我国单纯性语言发育迟缓/障碍儿童干预效果的元分析及其启示[J].中国特殊教育,2016,(10):19-25.

20 王兵.引导式教育训练辅助治疗脑瘫患儿言语障碍的康复效果评价[J].智慧健康,2019,5(29):123-124.

21 许云澎.口周按摩法联合康复训练对脑性瘫痪患儿语言功能的影响[J].中国民间疗法,2019,27(4):22-24.

22 张艳蕾.引导式教育和感觉统合治疗言语障碍患儿的疗效[J].中国民康医学,2018,30(8):85-87.