患有脊髓脊膜膨出和分流性脑积水的幼儿的语言差异。
Language differences in young children with myelomeningocele and shunted hydrocephalus.
作者信息
Vachha Behroze, Adams Richard
机构信息
Program in Human Development and Communication Sciences: Cognition and Neuroscience, University of Texas at Dallas, Texas Scottish Rite Hospital for Children, Dallas, Tex. 75219, USA.
出版信息
Pediatr Neurosurg. 2003 Oct;39(4):184-9. doi: 10.1159/000072469.
OBJECTIVE
This comparative cohort study examined language differences in young children (preschool to first grade) with myelomeningocele and shunted hydrocephalus (MM/SH).
METHOD
A well-validated, standardized language test was administered to 17 children with MM/SH (age range 4-6 years) and 16 age-matched, nonaffected children.
RESULTS
Standard scores were obtained within lexical/semantic, syntactic, and pragmatic domains. An analysis of performance on individual subtests within the lexical/semantic domain was striking. Children with MM/SH performed significantly worse (p<0.01) on a test measuring the comprehension of words representing important early learning concepts and on pragmatic tasks that measured their ability to use language functionally in social situations.
CONCLUSIONS
Words representing basic precepts and concepts are commonly used in instructions to children in early childhood. Difficulty with functional pragmatic language results in suboptimal communication skills. Academic and community implications are discussed.
目的
这项比较队列研究考察了患有脊髓脊膜膨出和分流性脑积水（MM/SH）的幼儿（学前班至一年级）的语言差异。
方法
对17名患有MM/SH的儿童（年龄范围4 - 6岁）和16名年龄匹配的未受影响儿童进行了一项经过充分验证的标准化语言测试。
结果
在词汇/语义、句法和语用领域获得了标准分数。对词汇/语义领域内各个子测试表现的分析结果显著。患有MM/SH的儿童在一项测量对代表重要早期学习概念的单词理解的测试以及一项测量他们在社交情境中功能性使用语言能力的语用任务上表现明显更差（p<0.01）。
结论
代表基本准则和概念的单词在幼儿教育中常用于指导儿童。功能性语用语言方面的困难导致沟通技能欠佳。讨论了其对学业和社区的影响。
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