1.白银市第一人民医院 白银 730900
2.白银市妇幼保健院 白银 730900
余婷 硕士 主治医师;研究方向:儿童生长发育,E-mail:516437738@qq.com
收稿:2024-05-27,
修回:2025-05-16,
录用:2026-06-11,
纸质出版:2026-07-15
移动端阅览
余婷,高爱香,吴亚星等.基于国际功能、残疾和健康分类理论的儿童言语心智发育筛查结果分析[J].中国听力语言康复科学杂志,2026,24(04):411-415.
YU Ting,GAO Ai-xiang,WU Ya-xing,et al.Analysis of Screening Results of Children's Speech and Cognitive Development Based on ICF Theory[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):411-415.
余婷,高爱香,吴亚星等.基于国际功能、残疾和健康分类理论的儿童言语心智发育筛查结果分析[J].中国听力语言康复科学杂志,2026,24(04):411-415. DOI: 10.3969/j.issn.1672-4933.2026.04.016.
YU Ting,GAO Ai-xiang,WU Ya-xing,et al.Analysis of Screening Results of Children's Speech and Cognitive Development Based on ICF Theory[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):411-415. DOI: 10.3969/j.issn.1672-4933.2026.04.016.
目的
2
探讨儿童不同维度语言发育存在的问题,为促进儿童语言发展提出建议。
方法
2
使用基于国际功能、残疾和健康分类(international classification of functioning, disability and health,ICF)理论下的互联网+儿童言语心智发育筛查仪对符合条件的2.5~6.0岁儿童进行言语认知发育筛查,对筛查结果进行分层分析。
结果
2
155例受检儿童中,ICF评估结果正常占18.07%,男童言语异常的发生率显著高于女童(61.84%vs.43.04%,
χ
2
=5.490,
P
<
0.05),反映构音功能和认知功能的内部指标之间具有显著关联性(
χ
2
=5.003、311.254,
P
<
0.05)。
结论
2
基于ICF理论的儿童言语心智发育筛查能够全面评估儿童多项功能,识别潜在发育风险。男童在语言发育方面需更多关注,建议分性别构建语言能力评估常模。儿童语言能力与认知、构音等功能密切关联,干预中应注重各能区的协同训练。推广ICF框架下的综合筛查模式,有助于实现儿童言语语言的早期识别与精准干预。
Objective
2
The application of screening method based on ICF framework theory to early screening of children's speech and cognitive level can find problems in language development from different dimensions
and put forward suggestions for promoting children's language development.
Method
2
The ICF Internet+ children's speech and cognitive development screening instrument was used to screen the speech and cognitive development of eligible children aged 2.5~6 years old. The screening results were stratified by gender and age.
Result
2
The proportion of normal ICF in the 155 tested children accounted for 18.07%. The incidence of speech abnormality in boys was higher than that in girls(61.84%vs.43.04%
χ
2
=5.490).The difference was statistically significant(
P
<
0.05). There was a correlation between the internal indicators reflecting the articulation function and cognitive function(
χ
2
=5.003、311.254
P
<
0.05).
Conclusion
2
Based on the ICF framework
the screening of children's speech and mental development enables a comprehensive assessment of multiple functional domains and the identification of potential developmental risks. Boys require more attention in language development
and it is recommended to establish language ability assessment norms by gender. Children's language ability is closely associated with functions such as cognition and articulation
highlighting the importance of coordinated training across different functional areas during intervention. Promoting a comprehensive screening model under the ICF framework facilitates early identification and precise intervention in children's speech and language development.
中共中央国务院 . " 健康中国2030"规划纲要 [M ] . 北京 : 人民出版社 , 2016 .
国家卫生健康委 . 健康儿童行动提升计划 ( 2021 - 2025 年)[EB/OL ] . https://www.nhc.gov.cn/fys/c100078/202111/a89349aa60f94019bf93648ff377061b.shtml.2021-10-29 https://www.nhc.gov.cn/fys/c100078/202111/a89349aa60f94019bf93648ff377061b.shtml.2021-10-29 .
Feldman HM . The Importance of Language-Learning Environments to Child Language Outcomes [J ] . Pediatrics , 2019 , 144 ( 4 ): e20192157 .
Carson V , Hunter S , Kuzik N , et al . Systematic review of physical activity and cognitive development in early childhood [J ] . Preventive Medicine , 2016 , 78 ( 7 ): 115 - 122 .
刘巧云 , 陈思齐 , 李岩 . 基于ICF的儿童语言康复体系构建 [J ] . 中国听力语言康复科学杂志 , 2019 , 17 ( 6 ): 401 - 404 .
钱旭光 , 赵勇 , 金炳旭 , 等 . 基于ICF-CY框架的"医学,教育,家庭与医务社工"四位一体全人康复模式在脑性瘫痪儿童中的应用 [J ] . 中国康复 , 2021 , 36 ( 3 ): 158 - 161 .
Wallace IF , Berkman ND , Watson LR , et al . Screening for Speech and Language Delay in Children 5 Years Old and Younger: A Systematic Review [J ] . Pediatrics , 2015 , 136 ( 2 ): e448-462 .
章依文 . 儿童语言障碍的早期干预 [J ] . 中华实用儿科临床杂志 , 2010 , 25 ( 11 ): 787 - 789 .
Mentzer VNC , Ranjbar P , Strandberg T . Communicative activity and participation in children with speech sound disorder: a case series using the ICF framework [J ] . Logopedics , phoniatrics, vocology, 2025 , 50 ( 3 ): 157 - 168 .
Brait AZ , Shon YRC , Lurdes DMZ . Contributions of ICF to an integral approach in the Health Care for Children and Adolescents [J ] . CoDAS , 2020 , 32 ( 3 ): e20180320 .
Maleki T , Kazemi Y . A Systematic Review of Applying International Classification of Functioning Disability and Health in Child Speech and Language Impairment [J ] . Journal of Research in Rehabilitation Sciences , 2016 , 11 ( 6 ): 425 - 432 .
McLeod T . The ICF-CY and children with communication disabilities [J ] . International Journal of Speech-Language Pathology , 2008 , 10 ( 1-2 ): 92 - 109 .
Anna C , Sharynne M , Sarah V . Applying the ICF-CY to Specialist Speech-Language Pathologists' Practice With Toddlers With Cleft Palate Speech [J ] . The Cleft Palate-Craniofacial Journal , 2020 , 57 ( 9 ): 1105 - 1116 .
McCormack J . Knowing, having, doing: The battles of childhood speech impairment [J ] . Child Language Teaching and Therapy , 2012 , 28 ( 2 ): 141 - 157 .
孙香梅 , 张岩 , 彭燕梅 , 等 . 北京市怀柔区儿童语言发育迟缓情况及影响因素分析 [J ] . 华南预防医学 , 2023 , 49 ( 05 ): 631 - 633,637 .
吴茜 , 陈忆晴 , 王玉荣 . 南京市幼托机构学龄前儿童语言发育现状及影响因素研究 [J ] . 华南预防医学 , 2020 , 46 ( 1 ): 46 - 49 .
Lakshmi NRA , Deshmukh PR , Tripathy JP , et al . Prevalence and Determinants of Developmental Delay in Children of 12-36 Months in the Area of Primary Health Centre, Bela, Nagpur [J ] . Indian Journal of Public Health , 2024 , 68 ( 3 ): 355 - 361 .
Wondmagegn T , Girma B , Habtemariam Y . Prevalence and determinants of developmental delay among children in low- and middle-income countries: a systematic review and meta-analysis [J ] . Frontiers in Public Health , 2024 , 12 ( 12 ): 1301524 .
Rani N , Balda S . Gender differences in developmental delay among of 6-10 years old children [J ] . Indian Journal of Health and Wellbeing , 2020 , 11 ( 1 ): 5 - 7 .
刘慧燕 , 宋燕燕 , 张舒琴 , 等 . 语言发育迟缓儿童的行为及语言特征分析 [J ] . 中国儿童保健杂志 , 2023 , 31 ( 4 ): 365 - 368,373 .
Yao D , Zeng Y , Gao M , et al . A Research on Developmental Characteristics of Children With Language Delay in Zhejiang Province, China [J ] . Frontiers in Pediatrics , 2020 , 8 : 479 - 479 .
王少雯 , 陈静静 , 姚玉佳 , 等 . 语言发育迟缓儿童的临床特征分析 [J ] . 中国儿童保健杂志 , 2022 , 30 ( 11 ): 1254 - 1257 .
曾庆煌 , 曾仁和 , 连文昌 , 等 . 早期儿童语言发展与脑发育关系的研究进展 [J ] . 右江民族医学院学报 , 2018 , 40 ( 2 ): 185 - 187,198 .
McAllister A , Sjolander P . Children's voice and voice disorders [J ] . Seminars in Speech and Language , 2013 , 34 ( 2 ): 71 - 79 .
Eriksson M , Marschik PB , Tulviste T , et al . Differences between girls and boys in emerging language skills: Evidence from 10 language communities [J ] . British journal of developmental psychology , 2012 , 30 ( 2 ): 326 - 343 .
Mascaro JS , Rentscher KE , Hackett PD , et al . Child gender influences paternal behavior, language, and brain function [J ] . Behav Neurosci , 2017 , 131 ( 3 ): 262 - 273 .
Lange BP , Euler HA , Zaretsky E . Sex differences in language competence of 3-to 6-year-old children [J ] . Applied Psycholinguistics , 2016 , 37 ( 6 ): 1417 - 1438 .
Collisson BA , Graham SA , Preston JL , et al . Risk and protective factors for late talking: An epidemiologic investigation [J ] . The Journal of pediatrics , 2016 , 172 : 168 - 174 .
Harvey BM , Klein BP , Petridou N , et al . Topographic representation of numerosity in the human parietal cortex [J ] . Science , 2013 , 341 ( 6150 ): 1123 - 1126 .
Beaty RE , Christensen AP , Benedek M , et al . Creative constraints: Brain activity and network dynamics underlying semantic interference during idea production [J ] . Neuroimage . 2017 , 148 : 189 - 196 .
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