本文選題：腭裂 + 舌根音　； 參考：《聽力學及言語疾病雜志》2017年04期

【摘要】：目的探討腭裂術后舌根音異常患者的語音特點及康復訓練方法。方法選擇110例腭裂修復術后一個月舌根音(/g/、/k/、/h/)異常的患者為研究對象,男60例,女50例,年齡4~27歲,平均9.01±4.12歲,按構音障礙嚴重程度將患者分為輕度(25例)、中度(33例)、重度(52例),分析其舌根音異常的語音特點,并對患者實施1~5個療程的針對性康復訓練后觀察療效,對舌根音錯誤字數與年齡和性別進行相關性分析。結果本組對象中舌根音/g/音錯誤頻率最高(96.36%,106/110),其后依次為/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)均主要表現為省略,/k/音主要置換為/h/音(54.88%,45/82)和/t/音(29.27%,24/82)。經康復訓練后,95例治愈,12例好轉,總治愈率為86.36%(95/110),輕、中和重度組治愈率分別為96.00%(24/25)、90.91%(30/33)、78.85%(41/52)。構音省略病例中男性占51.76%(44/85),女性占48.24%(41/85),構音置換病例中男性占51.47%(35/68),女性占48.53%(33/68);舌根音錯誤字數與年齡(r=-0.140,P0.05)和性別(r=0.090,P0.1)無相關性。結論本組腭裂修復術后患者舌根音異常主要發(fā)生于/g/和/k/音,/g/音主要表現為省略,/k/音主要表現為置換;本研究制定的針對腭裂術后患者舌根音異常的康復訓練方法效果明顯。
[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.
【作者單位】： 鄭州大學第一附屬醫(yī)院語音治療科;
【基金】：河南省衛(wèi)生廳科技基金(No.201003030) 河南省教育廳科技基金(No.2009A320023)資助
【分類號】：R767.92;R782.2

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