王燕娜,李晅,汪军,等.口呼吸与儿童功能性语音障碍的相关性分析[J].中华物理医学与康复杂志,2025,47(7):619-623
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| 口呼吸与儿童功能性语音障碍的相关性分析 |
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| DOI：10.3760/cma.j.cn421666-20240406-00233 |
| 中文关键词: 口呼吸 功能性语音障碍 儿童 |
| 英文关键词: Mouth breathing Functional speech disorders Sound disorders Children |
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| 中文摘要: |
| 目的 探讨口呼吸（MB）与儿童功能性语音障碍（FSSD）的相关性，以期为FSSD的临床治疗提供新的依据。 方法 选取年龄4至12岁，符合入选标准的FSSD患儿89例作为FSSD组，同期招募无FSSD的正常儿童85例作为对照组。收集2组受试者的临床资料，采用独立样本t检验和χ2检验对本研究2组受试儿童的性别、年龄、MB、舌系带术后、4岁前普通话交流、开口晚六因素进行差异性比较，采用多变量Logistic回归分析FSSD可能的影响因素，并分析MB与FSSD的相关性。 结果 经多因素Logistic回归分析显示，儿童FSSD致病的危险因素为MB（P<0.001，OR=22.168，95%CI为7.849～62.608），开口晚（P<0.01，OR=20.091，95%CI为4.812～83.878）；保护因素为年龄（P=0.02，OR=0.979，95%CI为0.962～0.997）。MB和相关因素（舌系带术后、4岁前普通话交流、开口晚）的单因素分析显示，MB（χ2=52.15，P<0.01）和开口晚（χ2=25.873，P<0.01）与FSSD呈显著相关性。 结论 儿童FSSD的影响因素包括MB、开口晚和年龄，其中MBOR值最高，提示其为FSSD重要的危险因素，临床应重视对MB儿童的早期筛查及干预，以降低FSSD的发生风险。 |
| 英文摘要: |
| Objective To explore the association between mouth breathing (MB) and functional speech sound disorders (FSSDs) in children, aiming to establish a novel theoretical basis for FSSD interventions. Methods Eighty-nine children with an FSSD aged 4-12 years formed the FSSD group, while eighty-five age-matched healthy children served as controls. Their clinical data were processed using independent sample t-tests and chi-square tests to test for any significant differences between the two groups in terms of gender, age, mouth breathing status, post-frenotomy condition, Mandarin exposure before age 4, and delayed speech onset. Multivariate logistic regressions were evaluated to identify risk factors for FSSD in such children and to seek any association between mouth brea-thing and FSSD. Results The regression analysis identified the following risk factors for childhood FSSD, ranked by odds ratio (OR) magnitude: mouth breathing (adjusted OR=22.168, 95%CI=7.849-62.608, P≤0.01), delayed speech onset (adjusted OR=20.091, 95%CI=4.812-83.878, P≤0.01), age (a protective effect) (adjusted OR=0.979, 95%CI=0.962-0.997, P≤0.05). Univariate analysis of mouth breathing and associated factors revealed significant associations of FSSD with mouth breathing (χ2=52.15, P≤0.01) and delayed speech onset (χ2=25.873, P≤0.01). Conclusions The significant risk factors for childhood functional speech sound disorders are mouth breathing (showing the highest adjusted OR), delayed speech onset and age. These findings suggest that early screening and therapeutic interventions for mouth breathing should be clinically prioritized to minimize FSSD risk. |
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