儿童发声障碍评估和多媒体语训矫治效果的研究.pdfVIP

康复教育 Chinese Scientific Journal of Hearing and Speech Rehabilitation 儿童发声障碍评估儿里及尸陴佃哥 1白 和多媒体语训矫 治效 果的研究 1 he assessment of voicing disorders in children and the efficacy of the multimedia intervention 一周丽娟 赵生全 张铁松 ZHOU Li-juan。ZHAO Sheng—quan。ZHANG Tie-song 【摘要l目的 研究4～14岁嗓音异常 (主要为声嘶)儿童的病因 病变及不同的治疗方法，对比多媒体语 训效果。方法 筛选180例4～14岁声带小结儿童，采用嗓音疾病评估议 (vocal assessment version 4．0)对受 试者进行声学和电声门图检测，并在治疗前后做了喉内窥镜检查或纤维喉镜检查，以进行图像的对比分析，将 确诊为声带小结的180例患儿分成3个组，语训组 (A) 语训l力口服药组 (B)．服药组 (C)。结果 A组总有效 率为96．6％，B组总有效率为98．4％，C组为36．9％，A组与C组比较两者有显著性差异 (尸l=0．000．05)； B组与C组比较差异也有统计学意义 ( =0．000．05)。结论 儿童发声障碍应用多媒体语训矫治，效果显著。 【关键词l嗓音异常儿童；多媒体；喉内窥镜；纤维喉镜 [Abstract]Objective To study the etiology,pathology and intervention therapy of voicing disorders mainly exhibited as hoarseness in children from 4 to 14 years old．The effects of the utilization of multimedia intervention are conducted in comparative paradigm．Methods 1 80 children with voicing disorders fr0m 4 to 14 years old were randomly divided into 3 groups：Group A with speech training，Group B with speech tmining plus medication，and Group C with medication only．Acoustic and eIectrogIottograph tests for the children were conducted with voicing assessment device，vocal assessment version 4．0．Fibrolaryngoscopy and／or eletrolaryngoscopy tests were administered in all 3 groups before and after treatment．Results The total effective rates of group A，B，C were 96．6％，98．4％ and 36．9％，respectively．There were statistically significant differences between Groups A and C(P =0．000．05)，Group B and C(P2=0．000．05)via Chi Square test． Conclusion Multimedia speech therapy has notable treatment effects in helping children with voicing disorders． [Key words]Children with voicing disorders；Mu