舌系带延长术后构音障碍患者异常舌尖前音的语音特点及康复训练

发布时间：2018-02-25 20:07

本文关键词： 舌系带延长术构音障碍舌尖前音康复　出处：《听力学及言语疾病杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨舌系带延长术后构音障碍患者异常舌尖前音的语音特点和康复训练方法。方法选择107例(3~26岁,平均7.21±4.55岁)舌系带延长术后构音障碍患者为研究对象,分析舌尖前音的构音障碍特点,再从中选择32例(3~24岁,平均7.59±5.10岁)有舌尖前音构音障碍的患者进行3个疗程的语音康复训练,分析康复效果。结果 107例患者中/z/、/s/的构音错误形式主要是与/a/、/o/、/e/、/u/或以其为介母的韵母组合时置换成舌尖中音/d/,分别为35例(32.71%)、28例(26.17%);/z/与/i/组合时置换成/j/有33例(30.84%)、/s/与/i/组合时置换成/x/有43例(40.19%);/c/的构音错误形式主要是与/a/、/o/、/e/、/u/或以其为介母的韵母组合时置换成/d/(6例,5.61%)和/t/(27例,25.23%),/c/与/i/组合时分别置换成/q/(45例,42.06%)、/j/(15例,14.02%);另/z/、/c/、/s/还分别置换成/zh/(15例,14.02%)、/ch/(17例,15.89%)、/sh/(14例,13.08%)及侧化(分别为11、10、12例)。32例患者经过语音康复训练后,舌尖前音构音错误的个数从训练前的34.53±6.08个减少到训练后的7.97±2.52个,差异有统计学意义(t=30.035,P0.001)。结论本组患者舌尖前音构音障碍错误形式主要为置换及侧化;本研究针对舌尖前音异常患者的训练方法效果显著,值得推广。
[Abstract]:Objective to investigate the phonological characteristics and rehabilitation training methods of abnormal anterior tone of tongue tip in patients with dysarthria after tongue band lengthening. Methods 107 patients with dysarthria after extension of tongue band were selected from 107 patients who were 26 years old (mean 7.21 卤4.55 years). By analyzing the characteristics of phonetic disorder, 32 patients with dysarthria (mean 7.59 卤5.10 years old) were selected for three courses of phonological rehabilitation training, among which 32 patients aged 24 years old (mean 7.59 卤5.10 years old) were given three courses of phonological rehabilitation training. Results in 107 patients, the form of r / z / s / / was mainly in the form of / / with / with / with / or with / or with the vowel combination of / or with the vowel combination of 35 cases with 32. 71 / 1 / 28 / / / 33 / / / and / and / respectively. There are 43 cases of 40.19% / c / in the form of errors in the structure of the ri / I / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R / R = 27 / R / 27 / / /. There were 17 cases of 15.89% / h /% and 14 cases of hemiplegia (111,010 cases / 12 cases / 32 cases respectively) were treated with phonetic rehabilitation training. The number of phonological errors in front of tongue tip decreased from 34.53 卤6.08 before training to 7.97 卤2.52 after training, and the difference was statistically significant (30.035) (P 0.001). The training method for patients with abnormal tongue tip sound is effective and worth popularizing.
【作者单位】：郑州大学第一附属医院口腔语音治疗科;
【基金】：河南省教育厅科技基金(2009A320023) 河南省卫生厅科技基金(201003030)联合资助
【分类号】：R767.92

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