目的 分析家长参与的康复训练对功能性障碍患儿构音清晰度的疗效,为临床综合性治疗提供科学依据。 方法 选取2018年9月—2020年1月在株洲市中心医院康复治疗科治疗的67例功能性构音障碍患儿为研究对象,按随机数字表法随机分为家长参与组33例和常规组34例。两组均予以常规构音训练,家长参与组在常规组的基础上增加家长参与整个治疗过程、每周1次家长培训和每日微信打卡作业,共治疗12周。比较两组治疗前后采用构音清晰度评估和疗效评定。 结果 治疗12周后,两组构音清晰度均较治疗前明显提高(t＝22.38、25.50,P＜0.01),且家长参与组治疗后构音清晰度高于常规组,差异有统计学意义(t=5.10,P＜0.01);家长参与组每周平均家中练习天数与总有效率均显著高于常规组(t=16.08、χ²=19.90 ,P＜0.01)。 结论 结合家长参与的康复训练对功能性构音障碍患儿疗效明显。

Objective To analyze the efficacy of rehabilitation training combined with parental participation on the articulation of children, so as to lay a scientific foundation for the clinical treatment of functional dysarthria. Methods A total of 67 children with functional dysarthria in the department of rehabilitation, Zhuzhou Central Hospital, from September 2018 to January 2020 were enrolled in this study. According to the random number table method, children were randomly divided into parental participation group (n=33) and conventional group (n=34).Both groups were given regular articulation training, while parents were involved during the entire treatment process in the parental participation group and trained once a week with daily WeChat check-in for a total of 12 weeks. Results After 12 weeks of treatment, the articulation level was significantly improved than that before treatment both in parental participation group and regular group (t=22.38, 25.50, P<0.01). Moreover, the articulation level of the parental participation group was significantly higher than that of the conventional group (t=5.10, P<0.01). The average days of home exercise and the total effective rate of the parental participation group were significantly higher than those of the conventional group(t=16.08, χ²=19.90, P＜0.01). Conclusions Rehabilitation training combined with parental participation is more effective for children with functional dysarthria.