目的 了解功能性构音障碍儿童智力结构的发育情况,为其认知功能的全面康复探索依据。方法 选择2017年1—7月就诊于大连市儿童医院儿童保健科确诊为功能性构音障碍儿童与正常儿童各30例,分别进行Peabody图片词汇测验和0~6岁儿童神经心理发育量表测试。比较两组的言语智商和发育总商值及大运动、精细运动、适应能力、语言和社交行为能力的发育水平。结果 功能性构音障碍儿童精细动作和适应性行为、语言能力的发育均低于正常对照组(t=5.241、4.100、3.256,P<0.05)。大运动和社交行为发展与正常对照组一致(t=1.594、2.058,P>0.05)。其自身5项能力比较,精细动作和适应性行为的发展也落后于大运动和社交能力,差异具有统计学意义(t=-2.847、-2.794、-4.268、-2.398,P<0.05)。结论 功能性构音障碍儿童存在智力结构发展的不平衡,有必要尽早对其进行发育水平的评估以利于其全面、整体的康复。

Objective To understand the development of intellectual structure in children with functional articulation disorder(FAD)and to research the basis for their Comprehensive rehabilitation of cognitive function. Methods A total of 30 children with FAD diagnosed in Dalian Children's Hospital and 30 normal children were tested by the Peabody picture vocabulary testl(PPVT) and the Neuropsychological Development Scale for 0-6-year-old children in the first half of 2017.To compare the children's language IQ and developmental quotient (DQ), their abilities of gross & fine movement, their language level, their adaptability and social communication with each other. Results The development of fine movement & language and adaptability of children with FAD were much inferior to normal children (t=5.241,4.100,3.256,P<0.05). The development of gross movement and social communication in FAD group were in accordance with the normal control(t=1.594,2.058,P>0.05).In the comparison of five abilities , the development of fine movement and adaptive ability of children with FAD were also lagging behind the gross movement and social communication of their own. The above differences were statistically significant (t=-2.847,-2.794,-4.268,-2.398,P<0.05) . Conclusions The intellectual structure of children with FAD may have developmental imbalance. It is necessary to assess their development level as early as possible in order to help their overall recovery.