目的 通过与S-S语言发育迟缓评价法比较,评估Gesell发育量表言语部分在早期语言筛查中的价值。方法 选取2015年6月-2016年5月在西安市第四医院儿保科心理门诊就诊的儿童共130例为研究对象,男93例(71.54%),女37例(28.26%),年龄1.5~5岁,使用Gesell及S-S法进行评估。结果 1)整体一致性检验Kappa值0.639(P<0.05),灵敏度77.2%,特异性86.3%;2)轻度语言发育迟缓一致性检验Kappa值0.481(P<0.05)。3)按年龄分组进行S-S法评估,两组构成比差异有统计学意义(P<0.05),2岁前表达异常为主,2岁后理解异常比例增高。结论 1)Gesell发育量表可以作为较好的语言筛查工具。2)在语言评估中可将S-S语言发育迟缓评价法和Gesell发育量表结合使用,前者定性,后者可用于严重程度分级。3)应用Gesell发育量表对2岁前儿童进行语言筛查显示为边缘状态时,应进一步行S-S法明确。

ObjectTo explore the application of Gesell developmental scale-language part in language development evaluation by the comparison with S-S method. Method sA total of 130 children aged from 1.5 to 5 years were selected in psychological clinics of Child Care Center in the Xi 'an Fourth Hospital from June 2015 to May 2016.There were 93(71.54%) boys and 37(28.26%) girls.Gesell developmental scale and S-S method were both used to evaluate language retardation degree. Results 1)Overall consistency check of Gesell developmental scale and S-S method in language retardation showed:the Kappa score was 0.639(P<0.05),sensitivity was 77.2%,specificity was 86.3%.2)Overall consistency check of Gesell developmental scale and S-S method in mild language retardation showed that the Kappa score was 0.481(P<0.05).3)S-S method in mild language retardation for two age groups showed that the constituent ratio of language characteristics had statistical differences (P<0.05).Children under 2 years old mainly had problem in language expression,while children above 2 years old mainly had problem in language comprehension. Conclusions 1)Gesell developmental scale can be used as a language development screening tool.2)Gesell developmental scale and S-S method can be used in combination,S-S method can be used for qualitative,Gesell developmental scale can be used for severity classification.3)S-S method should be used to ascertain diagnosis for the children under 2 years old whose language scores of Gesell developmental scale show margin state.