舌系带过短术后构音障碍患者的发音特点及矫治方法的研究
发布时间：2018-07-21 14:07
【摘要】：目的分析舌系带过短术后构音障碍患者的发音特点,并制定出科学有效的矫治方法,为临床中开展该类患者的评估及矫治提供依据。方法收集2015年7月~2017年1月以舌系带延长术后、说话不清为主诉,就诊于郑州大学第一附属医院口腔语音治疗科的患者,年龄均为四岁以上共176例。其中包括131例男孩,45例女孩,男女例数之比为2.91:1,年龄在4~29岁,平均(7.93±5.30)岁,使用美国KAY公司产的Model 4500型计算机语音工作站(Computer Speech Lab,CSL)按汉语语音清晰度测试表对176例患者录音进行异常语音的检测与评估,分析术后构音障碍患者的发音特点。对符合要求的4~8岁且智力听力均正常的70例患者借助CSL按照语音清晰度字表分别在语音矫治前后录音,并对录音材料进行判听分析以评价矫治效果。采用SPSS17.0进行统计处理,该研究属于自身配对设计,对患者经语音矫治前后的效果进行配对t检验,检验水准α=0.05。结果1.176例患者中,错误方式多以置换和脱落为主,侧化次之,扭曲少见。2.从发音位置观察,术后患者构音错误发生百分比高低依次为:舌尖后音(93.8%)、舌尖前音(82.4%)、舌根音(68.2%)、舌尖中音(63.6%)、舌面音(61.4%)、唇齿音(27.3%)及双唇音(22.7%)。3./b/、/d/、/t/、/q/、/x/、/z/、/c/与/i/组合时均置换成舌面音/j/;舌面音、舌尖前音及舌尖后音与/i/组合时出现侧化构音,且发与/i/组合的词语时,置换高于脱落;舌尖中音/l/的构音错误百分比高于舌根音;发音时送气音/p/、/t/、/q/非送气化为/b/、/d/、/j/。4.患者发21个辅音与/a/、/o/、/e/组合时构音错误百分比相对偏低且错误形式简单,但与/i/、/u/、/ü/组合时不仅错误百分比高且形式较复杂。5.发/m/、/d/、/n/、/l/、/g/、/h/、/s/、/r/与/u/组合及发/n/、/l/、/j/、/q/与/ü/组合的字词时辅音均脱落,/g/、/z/、/s/、/zh/与/u/组合时置换成/d/,/k/、/c/、/ch/与/u/组合时置换成/t/,舌面音则表现为同一发音部位的相互置换。6.通过1~3个疗程的矫治,70例患者的语音清晰度均比矫治前有所提高,由语音矫治前的41.34,提高了42.03,达到语音矫治后的83.00,语音矫治前后差异有统计学意义(t=-29.254,P㩳0.001)。结论舌系带延长术后构音障碍患者发音异常的临床特点以置换和脱落为主,侧化次之。应根据患者的发音特点,制定科学有效的矫治方法。本研究探讨的语音矫治方法效果肯定,能显著提高患者的语音清晰度。
[Abstract]:Objective to analyze the phonetic characteristics of dysarthria after short tongue band operation, and to establish a scientific and effective method for the evaluation and treatment of dysarthria in clinical practice. Methods from July 2015 to January 2017, 176 patients, aged more than 4 years, who were treated with oral phonetics therapy department of the first affiliated Hospital of Zhengzhou University, were treated with tongue band lengthening operation and inarticulate speech as the main complaint. These included 131 boys and 45 girls, with a ratio of 2.91 to 1: 1, with an average age of (7.93 卤5.30) years. According to the Chinese speech articulation test table, the abnormal speech of 176 patients with dysarthria was detected and evaluated by Model 4500 computer speech Workstation made by Kay Company in USA, and the pronunciation characteristics of patients with dysarthria after operation were analyzed. Seventy patients with normal intelligence and hearing were recorded before and after speech correction according to the speech articulation word table by CSL, and the recording materials were analyzed to evaluate the effect of correction. SPSS 17.0 was used for statistical processing. The study was a self-paired design. The effect of speech correction was tested by paired t test, and the test level was 伪 0.05. Results in 1.176 patients, replacement and shedding were the main ways of error, followed by lateralization, distortion was rare. 2. 2. From the position of articulation, the percentage of missounds occurred in patients after operation were as follows: posterior tone of tongue tip (93.8%), anterior tone of tip of tongue (82.4%), root tone of tongue (68.2%), middle tone of tip of tongue (63.6%), tone of face of tongue (61.4%), tone of lip teeth (27.3%) and double lip sound (22.7%). When the front of the tongue and the back of the tongue are combined with /, the displacement is higher than that of the loss; the percentage of errors in the construction of the middle of the tongue / is higher than that in the root of the tongue; and the air exhalation at the time of articulation is greater than that of the root of the tongue. The percentage of errors in 21 consonants and / or / or combinations is relatively low and the form of errors is relatively simple, but it is not only a high percentage of errors but also a more complicated form when combined with / r / I / r / r. The consonants of the / respectively, the words of / the words / The speech intelligibility of 70 patients treated with 1 ~ 3 courses of treatment was improved as compared with that before treatment. From 41.34 to 42.03, it reached 83.00 after speech correction. There was significant difference between before and after speech correction (t -29.254 P0. 001). Conclusion the main clinical features of dysarthria after tongue extension are replacement and abscission, followed by lateralization. Scientific and effective methods of correction should be formulated according to the pronunciation characteristics of the patients. The method of speech correction discussed in this study is effective and can significantly improve the speech articulation of patients.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R782
[Abstract]:Objective to analyze the phonetic characteristics of dysarthria after short tongue band operation, and to establish a scientific and effective method for the evaluation and treatment of dysarthria in clinical practice. Methods from July 2015 to January 2017, 176 patients, aged more than 4 years, who were treated with oral phonetics therapy department of the first affiliated Hospital of Zhengzhou University, were treated with tongue band lengthening operation and inarticulate speech as the main complaint. These included 131 boys and 45 girls, with a ratio of 2.91 to 1: 1, with an average age of (7.93 卤5.30) years. According to the Chinese speech articulation test table, the abnormal speech of 176 patients with dysarthria was detected and evaluated by Model 4500 computer speech Workstation made by Kay Company in USA, and the pronunciation characteristics of patients with dysarthria after operation were analyzed. Seventy patients with normal intelligence and hearing were recorded before and after speech correction according to the speech articulation word table by CSL, and the recording materials were analyzed to evaluate the effect of correction. SPSS 17.0 was used for statistical processing. The study was a self-paired design. The effect of speech correction was tested by paired t test, and the test level was 伪 0.05. Results in 1.176 patients, replacement and shedding were the main ways of error, followed by lateralization, distortion was rare. 2. 2. From the position of articulation, the percentage of missounds occurred in patients after operation were as follows: posterior tone of tongue tip (93.8%), anterior tone of tip of tongue (82.4%), root tone of tongue (68.2%), middle tone of tip of tongue (63.6%), tone of face of tongue (61.4%), tone of lip teeth (27.3%) and double lip sound (22.7%). When the front of the tongue and the back of the tongue are combined with /, the displacement is higher than that of the loss; the percentage of errors in the construction of the middle of the tongue / is higher than that in the root of the tongue; and the air exhalation at the time of articulation is greater than that of the root of the tongue. The percentage of errors in 21 consonants and / or / or combinations is relatively low and the form of errors is relatively simple, but it is not only a high percentage of errors but also a more complicated form when combined with / r / I / r / r. The consonants of the / respectively, the words of / the words / The speech intelligibility of 70 patients treated with 1 ~ 3 courses of treatment was improved as compared with that before treatment. From 41.34 to 42.03, it reached 83.00 after speech correction. There was significant difference between before and after speech correction (t -29.254 P0. 001). Conclusion the main clinical features of dysarthria after tongue extension are replacement and abscission, followed by lateralization. Scientific and effective methods of correction should be formulated according to the pronunciation characteristics of the patients. The method of speech correction discussed in this study is effective and can significantly improve the speech articulation of patients.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R782
【参考文献】
相关期刊论文 前10条
1 张艳云;李峰;徐丽娜;高楠;吕自愿;;年龄对舌系带延长术后语音障碍患者预后的影响[J];听力学及言语疾病杂志;2017年02期
2 徐丽娜;李峰;张艳云;高楠;胡明芳;;功能性构音障碍患儿舌根音异常的语音特点和康复训练[J];华西口腔医学杂志;2016年06期
3 张艳云;李峰;高楠;徐丽娜;胡明芳;;边缘性舌系带过短患者异常舌尖后音的语音特点及其康复训练方法研究[J];中华物理医学与康复杂志;2016年10期
4 卫俊俊;唐f搪，
本文编号：2135774
本文链接：https://www.wllwen.com/yixuelunwen/kouq/2135774.html
最近更新
教材专著
