【摘要】：目的觀察非綜合征性腭裂(NSCP)兒童的語言理解與表達能力與同齡正常兒童相比是否存在差異,并分析可能的發(fā)生機制。方法對54例3~8歲居住于城市地區(qū)的NSCP兒童,按養(yǎng)育者受教育程度,以初中畢業(yè)為標準分為2組,養(yǎng)育者受教育程度初中畢業(yè)及以上的兒童記為NSCP-A組,養(yǎng)育者受教育程度初中畢業(yè)以下的兒童記為NSCP-B組,分別與相應的正常兒童(匹配年齡、性別、居住地和養(yǎng)育者受教育水平,記為正常對照A、B組),進行標準化語言能力測試(包括整體語言、語言理解、語言表達、語義和句法5個項目),觀察NSCP組與正常對照組的測試結果是否存在差異。結果 NSCP組與正常對照組間的標準化語言能力測試得分的差異均有統(tǒng)計學意義(P0.05);NSCP組在語言表達和句法應用能力項目上的得分均低于正常對照組;NSCP-B組在句法項目上的得分均值低于常模正常值。結論與正常兒童相比,NSCP兒童對復雜語言結構的分辨和運用能力相對不足;養(yǎng)育者的受教育水平對患兒的語言能力有明顯影響,養(yǎng)育者較高的受教育水平可以有效地提高NSCP患兒的語言表達和句法能力。因此,對NSCP兒童的序列治療,應重視對患兒復雜語言結構運用能力的培養(yǎng),以提高該群體的整體預后水平。
[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.
【作者單位】： 深圳市兒童醫(yī)院口腔科言語治療室;香港大學言語及聽覺科學系;
【基金】：深圳市科技創(chuàng)新委員會基礎研究項目(JCYJ20140416141-331555,JCYJ20150403100317070) 深圳市衛(wèi)生計生系統(tǒng)科研資助項目(201401056)~~
【分類號】：R782.22

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