CAJ | 학술논문

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。
목적：관찰복잡구운동평분(COMS)화구강륜체속솔(DR)대뇌탄환인구운동화구음장애적평고결과。방법대107례뇌탄환인근거한어판구음장애검사、간단구운동평분(SOMS)、COMS화DR진행평정，분석SOMS、COMS평분여DR적상관성。결과85례존재SOMS이상(79.4%)，94례존재COMS이상(87.9%)。소유적경련형사지탄、불수의운동형、공제실조형화혼합형뇌탄환인균존재구운동장애；경련형쌍탄여편탄환인구운동장애발생솔교저이차정도교경。DR최차뇌탄류형의차시경련형사지탄、불수의운동형、혼합형，교호적시공제실조형화경련형쌍탄，최호적시경련형편탄。SOMS、COMS여DR평분、최장발음적상관계수균>0.8(P<0.01)。결론뇌탄환인구운동장애급구음장애적발생솔화엄중정도여뇌탄류형유관。SOMS、COMS여DR、최장발음평고상관성량호。
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 Chi-nese-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 quadri-plegia, dyskinetic, ataxia and mixed type of cerebral palsy, and less in the type of spastic diplegia and hemiplegia. DR was the least in spas-tic quadriplegia, dyskinetic, mixed type of cerebral palsy, more in the type of ataxia and spastic diplegia, and the most in hemiplegia. The co-efficient of correlation among the SOMS, COMS, the longest pronunciation and DR were more than 0.8 (P<0.01). Conclusion The inci-dence 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.