腭裂术后舌根音异常患者的语音特点及康复训练

发布时间：2018-06-15 21:55

本文选题：腭裂 + 舌根音　；参考：《听力学及言语疾病杂志》2017年04期

【摘要】：目的探讨腭裂术后舌根音异常患者的语音特点及康复训练方法。方法选择110例腭裂修复术后一个月舌根音(/g/、/k/、/h/)异常的患者为研究对象,男60例,女50例,年龄4~27岁,平均9.01±4.12岁,按构音障碍严重程度将患者分为轻度(25例)、中度(33例)、重度(52例),分析其舌根音异常的语音特点,并对患者实施1~5个疗程的针对性康复训练后观察疗效,对舌根音错误字数与年龄和性别进行相关性分析。结果本组对象中舌根音/g/音错误频率最高(96.36%,106/110),其后依次为/k/音(74.55%,82/110)、/h/音(19.09%,21/110);/g/音(80.19%,85/106)和/h/音(76.19%,16/21)均主要表现为省略,/k/音主要置换为/h/音(54.88%,45/82)和/t/音(29.27%,24/82)。经康复训练后,95例治愈,12例好转,总治愈率为86.36%(95/110),轻、中和重度组治愈率分别为96.00%(24/25)、90.91%(30/33)、78.85%(41/52)。构音省略病例中男性占51.76%(44/85),女性占48.24%(41/85),构音置换病例中男性占51.47%(35/68),女性占48.53%(33/68);舌根音错误字数与年龄(r=-0.140,P0.05)和性别(r=0.090,P0.1)无相关性。结论本组腭裂修复术后患者舌根音异常主要发生于/g/和/k/音,/g/音主要表现为省略,/k/音主要表现为置换;本研究制定的针对腭裂术后患者舌根音异常的康复训练方法效果明显。
[Abstract]:Objective to investigate the phonological characteristics and rehabilitation training methods of patients with tongue root vocal abnormality after cleft palate operation. Methods 110 patients with /g/ (/k/, /h/) abnormality after cleft palate repair were selected as the subjects, 60 males and 50 females, with an average age of 9.01 + 4.12 years old. The patients were divided into mild (25 cases) and moderate (33) according to the severity of dysarthria. In case of severe (52 cases), the phonetic characteristics of the abnormality of the tongue root were analyzed, and the effect was observed after the targeted rehabilitation training of the patients with 1~5 courses. The correlation between the number of false words of the tongue root and the age and sex of the tongue root sounds was analyzed. The results showed that the /g/ phonetic error frequency of the tongue root was the highest (96.36%, 106/110), followed by /k/ (74.55%, 82/110). ), /h/ (19.09%, 21/110); /g/ sound (80.19%, 85/106) and /h/ (76.19%, 16/21) were mainly manifested as ellipsis, /k/ sounds were mainly replaced by /h/ sounds (54.88%, 45/82) and /t/ sounds (29.27%, 24/82). After rehabilitation training, 95 cases were cured, 12 cases improved, the total cure rate was 86.36% (95/110), and the cure rate of light, moderate and severe group was 96%, 90.91%, 78., respectively. 85% (41/52). Male accounted for 51.76% (44/85), female 48.24% (41/85), male accounted for 51.47% (35/68), female 48.53% (33/68), and the number of tongue root pronunciation errors was not related to age (r=-0.140, P0.05) and sex (r=0.090, P0.1). Conclusion this group of cleft palate repair patients with tongue root abnormalities mainly occur in /g/ and in /g/. /k/ tone, /g/ sound mainly manifested as ellipsis, /k/ tone is mainly manifested as replacement; the effect of rehabilitative training on the abnormality of tongue root in patients with cleft palate is obvious in this study.
【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(No.201003030) 河南省教育厅科技基金(No.2009A320023)资助
【分类号】：R767.92;R782.2

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