Fluency disorders in children mainly include stuttering and cluttering. This article mainly discusses the clinical diagnosis and treatment strategies for childhood stuttering， including diagnosis and differential diagnosis， assessment plans and treatment strategies， and emphasizes an overall intervention model. In addition to improving children’s speech fluency and reducing the severity of stuttering， clinical diagnosis and treatment should be an integrated intervention model， covering the child’s and family’s cognitive level of stuttering， psychological and social status， basic communication functions， and overall language development assessments. It should also integrate traditional direct and indirect approaches to build a comprehensive intervention model of collaboration involving self-awareness of the child， family support， medical institutions， and schools.

speech fluency disorders, stuttering, guided speech support model, comprehensive intervention approach

儿童言语流畅障碍主要包括口吃和迅吃。文章主要讨论儿童口吃的临床诊疗策略，包括诊断与鉴别诊断、评估方案与治疗方法。儿童言语流畅障碍的临床诊疗应当是整体的干预模式，即在提升儿童的言语流畅度及降低口吃严重度之外，还应当涵盖患儿及其家庭对口吃的认知水平、心理与社会状态、基本沟通功能及整体语言发展评估，并融合传统的直接与间接疗法，构建患儿自我觉察、家庭支持、医疗机构与校园共同协作的综合干预模式。

言语流畅障碍, 口吃, 引导式言语支持模式, 综合干预模式