《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (04): 479-482.

• 临床研究 • 上一篇    下一篇

脑性瘫痪患儿口运动与构音障碍特征及其临床评定

纪静丽 1，李欣 1,2，侯梅 1，李淑秋 1，乔卫卫 1
   

  1. 1.青岛市妇女儿童医院神经康复科，山东青岛市 266034；2.青岛大学医学院，山东青岛市 266021。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-04-25 发布日期:2015-04-25

Characteristics and Evaluation of Oral Dyskinesia and Dysarthria in Children with Cerebral Palsy

JI Jing-li1, LI Xin1,2, HOU Mei1, LI Shu-qiu1, QIAO Wei-wei1
   

  1. 1. Department of Neurology and Rehabilitation, Qingdao Woman and Children's Hospital, Qingdao, Shandong 266034, China; 2. Qingdao University Medical College, Qingdao, Shandong 266021, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-04-25 Online:2015-04-25

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摘要： 目的 观察复杂口运动评分(COMS)和口腔轮替速率(DR)对脑瘫患儿口运动和构音障碍的评估结果。方法 对 107例脑瘫患儿根据汉语版构音障碍检查、简单口运动评分(SOMS)、COMS和 DR进行评定，分析 SOMS、COMS评分与 DR的相关性。结果 85例存在 SOMS异常(79.4%)，94例存在 COMS异常(87.9%)。所有的痉挛型四肢瘫、不随意运动型、共济失调型和混合型脑瘫患儿均存在口运动障碍；痉挛型双瘫与偏瘫患儿口运动障碍发生率较低而且程度较轻。DR最差脑瘫类型依次是痉挛型四肢瘫、不随意运动型、混合型，较好的是共济失调型和痉挛型双瘫，最好的是痉挛型偏瘫。SOMS、COMS与DR评分、最长发音的相关系数均>0.8 (P<0.01)。结论 脑瘫患儿口运动障碍及构音障碍的发生率和严重程度与脑瘫类型有关。SOMS、COMS与 DR、最长发音评估相关性良好。

关键词: 脑性瘫痪, 口运动障碍, 构音障碍, 口腔轮替速率

Abstract: Objective To observe the efficacy of Complex Oral Motor Scoring (COMS) and diadochokinetic rate (DR) on evaluation of oral motor dysfunction and speech disorders in children with cerebral palsy. Methods 107 children with cerebral palsy were tested with Chinese-version Articulation Test, Simple Oral Motor Scoring (SOMS), COMS and DR. The correlation among SOMS, COMS and DR was analysesd. Results 85 children were abnormal in SOMS and 94 in COMS. Oral dyskinesia was found in all the children with spastic quadriplegia, dyskinetic, ataxia and mixed type of cerebral palsy, and less in the type of spastic diplegia and hemiplegia. DR was the least in spastic quadriplegia, dyskinetic, mixed type of cerebral palsy, more in the type of ataxia and spastic diplegia, and the most in hemiplegia. The coefficient of correlation among the SOMS, COMS, the longest pronunciation and DR were more than 0.8 (P<0.01). Conclusion The incidence and severity of oral dyskinesia and dysarthria are associated with the types of cerebral palsy. There is good correlation among SOMS, COMS, longest pronunciation and DR.

Key words: cerebral palsy, oral dyskinesia, dysarthria, diadochokinetic rate