临床儿科杂志 ›› 2019, Vol. 37 ›› Issue (5): 341-.doi: 10.3969/j.issn.1000-3606.2019.05.005

• 综合报道 • 上一篇    下一篇

SLAS 语音和语言评定量表临床初探

马希瑞,章依文   

  1. 上海交通大学医学院附属上海儿童医学中心发育行为儿科(上海 200127)
  • 出版日期:2019-05-15 发布日期:2019-05-15
  • 通讯作者: 章依文 电子信箱:zhangyiwen@hotmail.com
  • 基金资助:
    上海市科学技术委员会科研计划项目(No.14441904003)

Clinical study of speech and language assessment scale

MA Xirui , ZHANG Yiwen   

  1. Department of Developmental and Behavioral Pediatrics, Shanghai Children’s Medical Center Affiliated to Medical School of Shanghai Jiao Tong University, Shanghai, 200127, China
  • Online:2019-05-15 Published:2019-05-15

摘要: 目的 评估语音和语言评定量表(SLAS)能否快速、有效地识别以普通话为母语的学龄前儿童的语言和语音 问题。方法 回顾分析2014年9—11月语言障碍门诊中,完成DREAM-C语言能力测试,且父母完成SLAS评估的儿童资料。 以DREAM-C为诊断标准将研究对象分为语言迟缓组和语言正常组,比较两组SLAS各因子得分;评估SLAS对于语义和 句法迟缓的诊断价值及其与DREAM-C评估结果的一致性。结果 语言迟缓组63例,男51例、女12例,年龄(51±10)月; 语言正常组71例,男43例、女28例,年龄(53±11)月。语言迟缓组儿童的SLAS自信、反应能力、语义、语法和构音得分 均低于语言正常组,差异有统计学意义(P均<0.001)。SLAS与DREAM-C诊断语义迟缓的Kappa值为0.518,诊断句法迟 缓的Kappa值为0.584;SLAS诊断语义和句法迟缓的ROC曲线下面积分别为0.904和0.862。结论 SLAS可以作为评估 学龄前儿童语音和语言问题的筛查工具。

关键词: 语言发育; 发育评估; 学龄前儿童

Abstract: Objective To assess if speech and language assessment scale (SLAS) can rapidly and effectively evaluate language abilities of preschool-aged children speaking mandarin as mother language. Method Children with language delay (n=63,boys/girls=51/12,age 51±10 months) were retrospectively collected from language impairment clinics between September 2014 and November 2014, normal peers 1:1 matching with age (n=71,boys/girls=43/28, age 53±11 months) were selected from regular health check-up clinics at the similar time period. We tested the group differences of SLAS scores between language delay group and normal controls. By using DREAM-C as a standard, the agreements of SLAS’s syntax and semantics were analyzed. Results Children with language delay group scored significantly lower in all SLAS sub-scores than children in the control group (all P<0.0001). By the standard of DREAM-C, Kappa value (Semantics)=0.5181, Kappa value (Syntax)=0.5839 in SLAS, and AUC (Semantics)=0.904 and AUC (Syntax)=0.862. It proofed that SLAS showed good agreements in semantics and syntax by the standard of DREAM-C. Conclusion We concluded that SLAS assessed language of preschool-aged children effectively and swiftly, it is appropriate to be used as a childhood language screening test.

Key words:  language development; development assessment; preschool-aged child