辅音-元音交互作用下功能性构音障碍儿童辅音错误分析(1)
【摘要】 目的：探讨辅音-元音交互作用(CVI)下功能性构音障碍(FAD)儿童辅音错误特征，细化语音评估，使语音康复更加精准化。方法：回顾性收集2013年1月-2014年12月就诊于广州市婦女儿童医疗中心神经内科门诊的构音障碍患儿26例(男16例，女10例)，均符合FAD的诊断标准，平均年龄(7.84±0.46)岁。分析不同发音部位的辅音与不同类型元音配合下辅音错误情况，检测工具为中国康复研究中心汉语构音障碍评定量表。结果：唇音、舌面音、舌根音、舌尖后音、舌尖前音、舌尖中音错误率分别为5.8%(6/104)，15.4%(12/78)，24.4%(19/78)，25.0%(26/104)，32.1%(25/78)和33.7%(35/104)。相同发音部位内不同辅音个体[m]错误率最低(0)，[d]错误率最高[61.5%(16/26)]。CVI下不同发音部位辅音与不同类型元音配合时，与合口呼韵母中的主要元音配合的唇音错误率最低[1.0%(1/104)]，与合口呼韵母中的主要元音配合的舌尖前音错误率最高[30.8%(24/78)]。辅音错误形式复杂多变。结论：对FAD儿童进行语音评估时，要熟悉辅音、元音发音特征，了解CVI下辅音错误的复杂多样性。参照错误类型，使康复计划的制定更全面、精准。
【关键词】 功能性构音障碍; 辅音-元音交互作用; 辅音; 言语; 儿童
Consonant Error Characteristics in Children with Functional Articulation Disorder under Consonant-vowel Interaction/JIANG Jianmin，LI Xiaojing，ZHU Haixia，et al.//Medical Innovation of China，2019，16(18)：0-014
【Abstract】 Objective：To characterize the consonant error patterns in Chinese-speaking children with functional articulation disorder(FAD)under consonant-vowel interaction，so as to improve speech evaluation method and specialize rehabilitation program.Method：A retrospective study was conducted，from January 2013 to December 2014，a total of 26 FAD children[male 16 cases，female 10 cases，average age was(7.84±0.46)years old] under consonant-vowel interaction were included in the study.The consonant error pattern was analyzed with variant pairings of consonant-vowel matching.Both Chinese articulation disorder rating scale from China Rehabilitation Research Center was applied as assessment tools.Result：The error ratios of consonants pairing with different articulation palaces(i.e.labial，alveo-palatal，velar，blade-palatal，supradental and blade-alveolar)were 5.8%(6/104)，15.4%(12/78)，24.4%(19/78)，25.0%(26/104)，32.1%(25/78)and 33.7%(35/104)，respectively.The error ratios of different consonants pairing with same articulation palace varied，ranging from 0 to 61.5%(16/26).When above consonants were modified by consonant-vowel interaction，the error ratios of consonants were not consistent，ranging from 1.0%(1/104)to 30.8%(24/78).The error forms of consonants varied.Conclusion：The speech therapist needs to be familiar with the articulation characteristics of consonants and vowels and considers the consonant error patterns under consonant-vowel interaction in order to specialize and comprehensive the rehabilitation program.
【Key words】 Functional articulation disorder; Consonant-vowel interaction; Speech; Consonants;Children
First-author’s address：Guangzhou Women and Children Medical Center，Guangzhou 510120，China, 百拇医药(江剑民 李小晶 朱海霞 沈慧玲 侯池 陈卓铭 杜志宏)
【关键词】 功能性构音障碍; 辅音-元音交互作用; 辅音; 言语; 儿童
Consonant Error Characteristics in Children with Functional Articulation Disorder under Consonant-vowel Interaction/JIANG Jianmin，LI Xiaojing，ZHU Haixia，et al.//Medical Innovation of China，2019，16(18)：0-014
【Abstract】 Objective：To characterize the consonant error patterns in Chinese-speaking children with functional articulation disorder(FAD)under consonant-vowel interaction，so as to improve speech evaluation method and specialize rehabilitation program.Method：A retrospective study was conducted，from January 2013 to December 2014，a total of 26 FAD children[male 16 cases，female 10 cases，average age was(7.84±0.46)years old] under consonant-vowel interaction were included in the study.The consonant error pattern was analyzed with variant pairings of consonant-vowel matching.Both Chinese articulation disorder rating scale from China Rehabilitation Research Center was applied as assessment tools.Result：The error ratios of consonants pairing with different articulation palaces(i.e.labial，alveo-palatal，velar，blade-palatal，supradental and blade-alveolar)were 5.8%(6/104)，15.4%(12/78)，24.4%(19/78)，25.0%(26/104)，32.1%(25/78)and 33.7%(35/104)，respectively.The error ratios of different consonants pairing with same articulation palace varied，ranging from 0 to 61.5%(16/26).When above consonants were modified by consonant-vowel interaction，the error ratios of consonants were not consistent，ranging from 1.0%(1/104)to 30.8%(24/78).The error forms of consonants varied.Conclusion：The speech therapist needs to be familiar with the articulation characteristics of consonants and vowels and considers the consonant error patterns under consonant-vowel interaction in order to specialize and comprehensive the rehabilitation program.
【Key words】 Functional articulation disorder; Consonant-vowel interaction; Speech; Consonants;Children
First-author’s address：Guangzhou Women and Children Medical Center，Guangzhou 510120，China, 百拇医药(江剑民 李小晶 朱海霞 沈慧玲 侯池 陈卓铭 杜志宏)