腭裂患者错误构音的相关因素研究

发布时间：2018-04-03 06:29

本文选题：构音　切入点：腭咽闭合完全　出处：《华西口腔医学杂志》2014年05期

【摘要】：目的通过对比研究腭咽闭合完全后构音的变化来探讨构音与腭咽功能和手术年龄的相关性,并同时探讨影响患者手术前后辅音脱落变化的相关因素。方法选择2011年1—12月符合纳入标准的48例非综合征型腭裂患者,其中男18例,女30例,平均年龄(13.3±5.8)岁。回顾性分析其相关语音数据,对其术前与术后的构音变化情况进行非参数检验,对构音改变程度与手术年龄等进行相关性分析。以P0.05为具有统计学意义。结果经过非参数检验腭咽闭合完全后构音的变化有统计学意义(Z=-3.796,P=0.000);术后构音恢复正常的百分比与手术年龄负相关(R=-0.487,P=0.000)。辅音脱落的改变程度与手术年龄呈正相关(R=0.589,P=0.000);与复诊时间呈负相关(R=-0.235,P=0.040);与性别呈正相关(R=0.404,P=0.047)。结论腭咽闭合完全后构音明显好转,语音清晰度明显改善;患者达到腭咽闭合完全的年龄越小,术后构音恢复正常的百分比越高。辅音脱落的改变与患者年龄和性别呈正相关,与复诊时间呈负相关。
[Abstract]:Objective to investigate the correlation between palatopharynx and palatopharynx function and operative age by comparing the changes of palatopharynx complete posterior conformation, and to explore the related factors that affect the change of consonant abscission before and after operation in patients with palatopharynx.Methods 48 patients with non-syndromic cleft palate from January to December 2011 were selected, including 18 males and 30 females, with an average age of 13.3 卤5.8 years.The phonetic data were analyzed retrospectively, and the changes of structure sound before and after operation were analyzed by nonparametric test, and the correlation between the degree of change and the age of operation was also analyzed.P0.05 as a statistical significance.Results after non-parametric test, the changes of post-articulation sound of complete velopharyngeal closure were statistically significant, and the percentage of normal postoperative conformation was negatively correlated with the age of operation.The degree of abscission of consonant was positively correlated with the age of operation, negatively correlated with the time of follow-up, and positively correlated with sex.Conclusion the post-articulation of palatopharynx was improved and the articulation of speech was improved. The younger the patients reached the complete velopharyngeal closure, the higher the percentage of the patients returned to normal after operation.The change of consonant abscission was positively correlated with age and sex, and negatively correlated with the time of follow-up.
【作者单位】：口腔疾病研究国家重点实验室
【基金】：卫生部国家重点专科建设基金资助项目(2011年)
【分类号】：R782.22

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