语言障碍儿童认知功能现状及影响因素分析

曹静; 阿衣古丽·阿巴斯; 古丽苏木汗·阿布来提; 周晓倩; 亚克普·艾海提; 张美

doi:10.3969/j.issn.1672-4933.2025.04.020

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语言障碍儿童认知功能现状及影响因素分析

康复教育 | 更新时间：2026-07-11

- 语言障碍儿童认知功能现状及影响因素分析
- Analysis of the Current Status and Influencing Factors of Cognitive Function in Children with Language Disorders
- 中国听力语言康复科学杂志 2025年23卷第4期页码：441-444
- 作者机构：
  
  1.新疆医科大学第一附属医院乌鲁木齐 830013
  2.新疆维吾尔自治区儿童医院乌鲁木齐 830000
- 作者简介：
  
  曹静本科主管护师；研究方向：儿科学
  张美，E-mail：274128324@qq.com
- 基金信息：
  
  新疆维吾尔自治区自然科学基金项目“基于线粒体DNA-Toll样受体9信号通路探讨视神经脊髓炎谱系疾病的发病机制”(2021D01C313)
- DOI：10.3969/j.issn.1672-4933.2025.04.020
  中图分类号： R49
- 收稿：2024-12-09，
  
  纸质出版：2025-07-15
- 稿件说明：
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曹静,阿衣古丽·阿巴斯 ,古丽苏木汗·阿布来提等.语言障碍儿童认知功能现状及影响因素分析[J].中国听力语言康复科学杂志,2025,23(04):441-444.

CAO Jing,AYIGULI Abasi,GULISUMUHAN Abulaiti,et al.Analysis of the Current Status and Influencing Factors of Cognitive Function in Children with Language Disorders[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):441-444.
曹静,阿衣古丽·阿巴斯 ,古丽苏木汗·阿布来提等.语言障碍儿童认知功能现状及影响因素分析[J].中国听力语言康复科学杂志,2025,23(04):441-444. DOI： 10.3969/j.issn.1672-4933.2025.04.020.

CAO Jing,AYIGULI Abasi,GULISUMUHAN Abulaiti,et al.Analysis of the Current Status and Influencing Factors of Cognitive Function in Children with Language Disorders[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):441-444. DOI： 10.3969/j.issn.1672-4933.2025.04.020.

摘要

目的

分析语言障碍儿童的认知功能现状及影响因素。

方法

对2021年1月～2023年12月收治的107例语言障碍儿童进行韦氏儿童智力量表测试（wechsler intelligence scale for children， WISC），低于70分的患儿为认知功能障碍组（n=42），其余为对照组（n=66），比较两组患儿临床特征，分析语言障碍儿童认知功能降低的危险因素。

结果

107例语言障碍儿童中，42例（39.25%）存在认知功能障碍，平均WISC评分为86.84±12.84分，低于正常水平。与对照组比较，认知功能障碍组患儿父母双亡的比例显著增加（23.81% vs. 6.06%，

0.05）；平均每周户外运动时长显著缩短（3.12±1.24 vs. 5.26±1.47 h，

0.001）；病程显著延长（4.26±2.12 vs. 3.12±1.58 年，

=0.002）；语言行为评分显著下降（28.47±7.93 vs. 34.93±8.03，

0.001）；脑瘫患儿比例显著增加（28.57% vs. 6.06%，

0.05）。多因素logistics回归分析显示，平均每周户外运动时长、病程、语言行为评分、脑瘫是语言障碍儿童认知功能障碍的独立影响因素。

结论

语言障碍儿童认知功能障碍的发生率较高，应针对相关危险因素进行早期干预。

Abstract

Objective

To analyze the current status of cognitive functions in children with language disorders

and to analyze the risk factors for cognitive decline in children with language disorders.

Method

From January 2021 to December 2023

107 children with language disorders admitted to the First Affiliated Hospital of Xinjiang Medical University and Xinjiang Uygur Autonomous Region Children's Hospital were prospectively collected. The Wechsler Intelligence Scale for Children (WISC) was used to assess all children

and those with scores below 70 were defined as the cognitive impairment group (n=42)

while the rest were the control group (n=66). The main clinical characteristics of the two groups of children were compared

and the risk factors for cognitive impairment in children with language disorders were analyzed.

Results

Among the 107 children with language disorders

42 (39.25%) had cognitive impairment

with an average WISC score of 86.84±12.84 points

lower than the normal level. Compared with the control group

the proportion of parents who died in the cognitive impairment group significantly increased (23.81% vs. 6.06%

0.05). The average weekly outdoor exercise duration was significantly shortened (3.12±1.24 vs. 5.26±1.47 h

0.001). The course of the disease was significantly prolonged (4.26±2.12 vs. 3.12±1.58 years

=0.002). The score for language behavior significantly decreased (28.47±7.93 vs. 34.93±8.03

0.001). The proportion of children with cerebral palsy significantly increased (28.57% vs. 6.0

0.05). Multivariate logistic regression analysis showed that average weekly outdoor exercise duration

disease duration

language behavior scale score

and cerebral palsy were independent influencing factors of cognitive impairment in children with language disorders.

Conclusion

The incidence of cognitive dysfunction in children with language disorders is relatively high

and early intervention should be targeted at relevant risk factors.

关键词

Keywords

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