目的 探讨家庭康复微信小程序对功能性构音障碍患儿的影响, 为临床治疗提供科学依据。方法 选取2018年1月-2019年7月在上海市儿童医院康复科治疗的36例功能性构音障碍(FAD)患儿为研究对象, 随机分为常规家庭康复组和微信小程序组各18例, 治疗8周, 治疗前后, 采用中国康复研究中心制定的构音障碍检查方法进行评价。结果 治疗前, 常规家庭康复组和微信小程序组组间错误音比较, 差异无统计学意义(t=0.72, P=0.48);经8周治疗后, 两组患儿同组治疗前后的错误音比较, 治疗后错误音均明显少于治疗前(t=10.73, 15.74, P<0.01);但家庭微信小程序组治疗后错误音节显著少于常规家庭康复组, 差异有统计学意义(t=0.37, P<0.05)。结论 应用家庭康复微信小程序能更好的改善功能性构音障碍患儿的错误音。

Objective To explore the effect of family rehabilitation Wechat program on children with functional articulation disorder (FAD), in order to provide scientific reference for clinical treatment. Methods Totally 36 FAD children treated in rehabilitation department of Shanghai Children's Hospital from January 2018 to July 2019 were enrolled in this study, and were randomly divided into routine family rehabilitation group and Wechat small program group, with 18 cases in each group.And the intervention last for 8 weeks.Before and after treatment, the articulation disorders were assessed by the method developed by China Rehabilitation Research Center. Results Before treatment, there was no significant difference on error sounds between the conventional home rehabilitation group and the Wechat Mini Program group (t=0.72, P=0.48).After 8 weeks of treatment, the error sounds of the two groups of children significantly improved (t=10.73, 15.74P<0.01).Moreover, the error syllables were significantly reduced in the family WeChat mini-program group compared with the conventional home rehabilitation group (t=0.37, P<0.05). Conclusion Family rehabilitation Wechat program can better improve the mispronunciation of children with functional dysarthria.