华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

儿童功能性构音障碍的初步分析

周巧娟1, 尹恒2, 石冰2   

  1. 1.温州医学院附属口腔医院儿童口腔科, 浙江温州325027; 2.四川大学华西口腔医院唇腭裂外科, 四川成都610041
  • 收稿日期:2008-08-25 修回日期:2008-08-25 出版日期:2008-08-20 发布日期:2008-08-20
  • 通讯作者: 尹恒,Tel:028- 85502167
  • 作者简介:周巧娟(1980-),女,浙江人,住院医师,硕士

Er ror analysis of functional ar ticulation disorder s in childr en

ZHOU Qiao- juan1, YIN Heng2, SHI Bing2   

  1. 1.Dept. of Pediatric Dentistry, Hospital of Stomatology, Wenzhou Medical College, Wenzhou 325027, China; 2. Dept. of Cleft Lip and Palate Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2008-08-25 Revised:2008-08-25 Online:2008-08-20 Published:2008-08-20
  • Contact: YIN Heng,Tel:028- 85502167

摘要:

目的分析功能性构音障碍儿童的语音特点,为语音治疗和鉴别诊断提供依据。方法选择172例功能性构音障碍患儿为研究对象,按照年龄分为4~5岁组和6~10岁组,以四川大学华西口腔医院唇腭裂外科语音清晰度测试表作为测试材料,记录患儿自发性语音样本。由2位专业语音师对患儿的发音进行现场判听,并对其语音样本进行分析比较。结果功能性构音障碍的表现形式以替代和省略为主。2个年龄组中,错误频率最高的是舌尖前音,最低的是双唇音和唇齿音。6~10岁组腭化和侧化构音的比例高于4~5岁组。结论功能性构音障碍的表现形式以替代和省略为主,舌尖前音是错误频率最高的辅音,双唇音和唇齿音发生错误比例最少;双唇音、唇齿音、舌尖音和舌根音的错误一般都是单纯的替代,而舌尖前音、舌面音的错误除了单纯的替代之外,较多出现腭化构音和侧化构音。

关键词: 功能性构音障碍, 语音习得, 错误构音

Abstract:

Objective To explore the clinical characteristic of functional articulation disorders in children and provide more evidence for differential diagnosis and speech therapy. Methods 172 children with functional articulation disorders were grouped by age. Children aged 4- 5 years were assigned to one group, and those aged 6- 10 years were to another group. Their phonological samples were collected and analyzed. Results In the two groups, substitution and omission(deletion) were the mainly articulation errors in these children, dental consonants were the main wrong sounds, and bilabial and labio- dental were rarely wrong. In age 4- 5 group, sequence according to the error frequency from the highest to lowest was dental, velar, lingual, apical, bilabial, and labio- dental. In age 6- 10 group, the sequence was dental, lingual, apical, velar, bilabial, labio- dental. Lateral misarticulation and palatalized misarticulation occurred more often in age 6- 10 group than age 4- 5 group and were only found in lingual and dental consonants in two groups. Conclusion Misarticulation of functional articulation disorders mainly occurs in dental and rarely in bilabial and labio- dental. Substitution and omission are the most often occurred errors. Lateral misarticulation and palatalized misarticulation occur mainly in lingual and dental consonants.

Key words: functional articulation disorders, phonological acquisition, misarticulation