腭裂术后双唇音构音障碍的语音特点及康复训练

发布时间：2018-03-01 15:31

本文关键词： 腭裂双唇音语音特点康复训练　出处：《中国康复理论与实践》2017年02期 　论文类型：期刊论文

【摘要】：目的研究腭裂术后患者双唇音构音障碍的语音特点及康复训练方法。方法分析2012年1月至2016年1月腭裂术后存在双唇音构音障碍的腭咽闭合不全(VPI)患者51例和腭咽闭合完全(VPC)患者57例的语音特点。对患者进行针对性的康复训练。对双唇音构音障碍与年龄进行相关性分析。结果 /b/在两类患者中主要表现为弱化,VPI患者中/p/主要表现为弱化,VPC患者中/p/主要置换为/b/。VPI患者经1~6周的针对性康复训练,46例治愈,2例好转,总治愈率为90.20%(46/51),轻、中和重度组治愈率分别为100%(13/13)、93.75%(15/16)和77.27%(17/22);VPC患者经1~5周的针对性康复训练,53例治愈,4例好转,总治愈率为92.98%(53/57),轻、中和重度组治愈率分别为100%(17/17)、90.48%(19/21)和89.47%(17/19)。VPC患者双唇音构音错误字数与年龄存在负相关(r=-1.000,P0.001)。结论腭裂术后患者双唇音构音障碍主要发生于/b/和/p/,/b/主要表现为弱化,/p/主要为弱化和置换;针对性的语音康复训练是矫治腭裂术后患者双唇音构音障碍的有效措施。
[Abstract]:Objective to study the phonological characteristics and rehabilitation training of patients with dysphonia after cleft palate operation. Methods 51 patients with velopharyngeal dysphonia and palatine dysphagia after palatoplasty from January 2012 to January 2016 were analyzed. The phonological characteristics of 57 patients with complete pharynx closure (VPC). The rehabilitation training was carried out. The correlation between dysarthria and age was analyzed. Results the main manifestation of rb/ in the two groups of patients was the weakening of VPI. The main manifestation of the rp/ is the weakening of the patients with VPC. The total cure rate was 90.20 / 46 / 51, the cure rate in light, moderate and severe groups was 100 / 13 / 13 / 93.7575 / 15 / 16) and 77.27% / 17 / 22 / 22 / VPC patients. After 1 / 5 weeks of targeted rehabilitation training, 53 cases of VPC patients were cured and 4 cases improved. The total cure rate was 92.98% 53 / 53%. The cure rate of moderate and severe group was 100 / 17 / 90.48 / 19 / 21) and 89.4747 / 1719 / VPC / VPC patients respectively. There was a negative correlation between the number of mispronunciation words and the age of patients with cleft palate. Phonetic rehabilitation training is an effective method for correction of bilateral lip tone disorder after cleft palate surgery.
【作者单位】：郑州大学第一附属医院语音治疗科;
【基金】：河南省卫生厅科技基金资助项目(No.201003030) 河南省教育厅科技基金资助项目(No.2009A320023)
【分类号】：R782.2

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