CAJ | 학술논문

目的比较痉挛型脑瘫儿童与健康儿童在言语呼吸参数上的差异,探讨7～ 15岁脑瘫儿童的言语呼吸特征.方法对90例健康儿童(健康组)和58例痉挛型脑瘫儿童(脑瘫组)进行最长声时(MPT)和最大数数能力(MCA)测试,将所得2组儿童的测试结果进行比较分析.结果 ①年龄对健康组儿童的MPT及MCA的影响有统计学意义(P＜0.05),其中13～15岁健康儿童的MPT和MCA优于7～9岁、10～12岁健康儿童,但年龄对脑瘫组患儿的MPT及MCA的影响,差异无统计学意义(P＞0.05);②性别对健康组和脑瘫组儿童的MPT及MCA的影响,差异均无统计学意义(P＞0.05);③脑瘫对脑瘫组与健康组MPT和MCA的影响,差异均有统计学意义(P＜0.05).结论健康儿童MPT和MCA呈现出随年龄增长而增加的趋势,且13岁后MPT和MCA出现较明显的增加,而痉挛型脑瘫儿童的MPT和MCA未呈现出相应的趋势,其整体表现为言语呼吸功能发育迟滞的状态;痉挛型脑瘫儿童较健康儿童更容易出现呼吸支持不足和呼吸功能与发声功能不协调的现象.
목적 비교경련형뇌탄인동여건강인동재언어호흡삼수상적차이,탐토7～ 15세뇌탄인동적언어호흡특정.방법 대90례건강인동(건강조)화58례경련형뇌탄인동(뇌탄조)진행최장성시(MPT)화최대수수능력(MCA)측시,장소득2조인동적측시결과진행비교분석.결과 ①년령대건강조인동적MPT급MCA적영향유통계학의의(P＜0.05),기중13～15세건강인동적MPT화MCA우우7～9세、10～12세건강인동,단년령대뇌탄조환인적MPT급MCA적영향,차이무통계학의의(P＞0.05);②성별대건강조화뇌탄조인동적MPT급MCA적영향,차이균무통계학의의(P＞0.05);③뇌탄대뇌탄조여건강조MPT화MCA적영향,차이균유통계학의의(P＜0.05).결론 건강인동MPT화MCA정현출수년령증장이증가적추세,차13세후MPT화MCA출현교명현적증가,이경련형뇌탄인동적MPT화MCA미정현출상응적추세,기정체표현위언어호흡공능발육지체적상태;경련형뇌탄인동교건강인동경용역출현호흡지지불족화호흡공능여발성공능불협조적현상.
Objective To explore the speech respiratory characteristics of 7-15 years old children with spastic cerebral palsy and the differences between ordinary children and children with cerebral palsy.Methods The maximum phonation time (MPT) and maximum counting ability (MCA) of 90 ordinary children and 58 children with cerebral palsy aged 7-15 years were measured and a comparison between the 2 groups were conducted.Results (1) Age has significant effects on MPT and MCA of the ordinary children (P ＜0.05).The MPT and MCA of the ordinary children at the age of 7 ～9 years and 10 ～ 12 years are lower than the ones at the age of 13 ～ 15 years.Age has almost no effects on MPT and MCA of children with cerebral palsy(P ＞0.05) ; (2)Sex has no significant effects on MPT and MCA of ordinary children and children with cerebral palsy (P ＞0.05) ; (3) The MPT and MCA of children with cerebral palsy are significantly lower than those of ordinary children (P ＜0.05).Conclusions The MPT and MCA of ordinary children are increased with the growth of age,especially after the age of 13 years,but the children with spastic cerebral palsy do not show that kind of trend and demonstrate a state of retardation of speech respiratory function.Compared with ordinary children,the children with spastic cerebral palsy are easier to suffer from insufficient respiratory support and poor respiratory-phonatory coordination.