CAJ | 학술논문

目的：研究功能性构音障碍儿童错误辅音在不同年龄段内的具体表现，了解错误辅音在大年龄组儿童中是否存在好转或自愈倾向。方法：采用中国康复研究中心研制的汉语构音障碍评定法，按照6种不同发音部位（唇音、舌尖中音、舌根音、舌面音、舌尖前音、舌尖后音）的辅音分类方法，对不同年龄段功能性构音障碍儿童的错误辅音进行分析，收集3个年龄段6种不同发音部位发生错误构音的人数和未发生错误构音的人数。结果：90例患者在唇音发音时，不同等级错音个数时的人数分布状况在4岁年龄段、5岁年龄段以及6岁以上年龄段3个不同年龄段的人数分布差异无统计学意义。6种不同发音部位中，只有当患者在舌尖后音发音时，患者辅音构音错误和未发生辅音构音错误人数分布在3个不同年龄段之间在统计学上存在显著性差异（ P＝0．018）。其余5种发音部位发音时，3个不同年龄段差异无统计学意义。结论：辅音构音错误在大年龄段内无好转或自愈倾向。一旦发现儿童存在辅音构音错误应该及时诊治，尽早接受语音康复训练。
목적：연구공능성구음장애인동착오보음재불동년령단내적구체표현，료해착오보음재대년령조인동중시부존재호전혹자유경향。방법：채용중국강복연구중심연제적한어구음장애평정법，안조6충불동발음부위（진음、설첨중음、설근음、설면음、설첨전음、설첨후음）적보음분류방법，대불동년령단공능성구음장애인동적착오보음진행분석，수집3개년령단6충불동발음부위발생착오구음적인수화미발생착오구음적인수。결과：90례환자재진음발음시，불동등급착음개수시적인수분포상황재4세년령단、5세년령단이급6세이상년령단3개불동년령단적인수분포차이무통계학의의。6충불동발음부위중，지유당환자재설첨후음발음시，환자보음구음착오화미발생보음구음착오인수분포재3개불동년령단지간재통계학상존재현저성차이（ P＝0．018）。기여5충발음부위발음시，3개불동년령단차이무통계학의의。결론：보음구음착오재대년령단내무호전혹자유경향。일단발현인동존재보음구음착오응해급시진치，진조접수어음강복훈련。
Objective:To study the characteristics of children with functional dysarthria pronouncing consonants a-mong different ages ,to understand whether they will be improved or cured along with age .Methods:The dysarthria examination scale from China Rehabilitation Research Center was applied in this study .Based on the different pro-nouncing parts ,the constant pronunciations were clustered to six groups (i .e .labial consonant ;supradental conso-nant ;blade-alveolar consonant ;blade-palatal consonant ;lingua-palatal consonant ;velar consonant);the children with functional dysarthria were divided into three age groups .The ratio of children pronouncing constants incorrectly and correctly was analyzed .Results:For the rate of pronouncing constants incorrectly among 90 cases ,there was no sta-tistically significant difference among four-year ,five-year and older than six years groups .For the analysis of six pronouncing parts ,the statistical significance was only found in pronouncing blade-palatal consonant among three age groups (P=0 .018) ,and the rest five pronouncing parts did not have statistically significant difference .Conclusion:The symptoms will not be improved or cured naturally with age .Immediate treatment should be conducted once the diagnosis of functional dysarthria is made .