わが教室における音声言語外来の現況

CLINICAL AND STATISTICAL OBSERVATIONS FROM THE SPEECH AND HEARING CLINIC

　I．はじめに

　私どもの教室では，昭和39年より音声言語外来を設け，音声言語障害の検査，診断，治療を行なつてきた。当初，人員はもとより，施設の不備のため運営の苦難があつたが，最近に至りそれらは逐次改善され，ようやく軌道に乗つた感がある。その間8年間，私どもは過去を顧み，いささか反省させられる点も多々あり，ここに昭和46年度の現況を中心として，8年間の歩みを紹介し，あわせて音声言語治療における問題点を提起し，今後の展望について私見を述べたいと思う。

　A resume of the clinical and statistical observations made in 1971 together with the transitions that have occurred during the eight previous years in the Speech and Hearing Clinic of the Kanazawa University Hospital is reported as follows:

　1) The total number cases in 1971 to be 315; 60% of these cases were children under age 5. By distribution in the types of speech disorder, 26% showed hearing impairement ; 19% were found to be affected with cleft palate; 18% mentally deficient; 8% with difficult articulation; 7% were stutterers; 5% with environment factors and esophageal voice and 4% were found to be affected with aphasia.

　2) The total number of cases for each showed a progressive increase in number especially in early ages of 2 and 3.

　3) The cases with hearing impairement, mentally deficiency and cleft palate showed an increase anually but cases of stuttering showed a decrease.

　4) When considering the diagnosis, therapy and prevention of speech disorders, systematic screening and cooperative team approach are highly important and necessary.

　5) It is also emphasized that the training of speech therapist to be another important factor.