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,P<0.001)。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。
Objective To investigate articulation characteristics and rehabilitation training methods of abnormal supradental of patients with dysarthria after lingual frenectomy.Methods A total of 107 patients with dysarthria after lingual frenectomy were studied for articulation characteristics.Then 32 patients with dysarthria were recruited from those 107 patients for further research of the training methods.Results The articulation disorders of/z/and/s/were replaced by/d/when/z/and/s/were combined with/a/,/o/,/e/,/u/or the vowels whose head vowels were them,/z/and/s/were replaced by/j/and/x/when they were combined with/i/.The proportion of these disorders were 32.71%,26.17%,30.84% and 40.19%,respectively.The articulation disorders of/c/was replaced by/d/or/t/when/c/ was combined with/a/,/o/,/e/,/u/or the vowels whose head vowels were them.The proportions were 5.61% and 25.23%,respectively.When/c/was replaced by/q/and/j/.When/c/was combined with/i/,the proportions respectively were 42.06% and 14.02%.Then/z/,/c/,/s/were totally replaced to/zh/,/ch/and,/sh/or lateralization.The proportions of these disorders were 14.02%,15.89%,13.08% and10.28%,9.35%,11.21%,respectively.After the speech training,the patients made less mistakes about supradental consonant,the number changed from 34.53±6.08 to 7.97±2.52.The differences were statistically significant（t=30.035,P0.001）.Conclusion The main articulation disorders were replacement and lateralization.The training methods that this research has established are significantly effective,and is worth receiving further study and possible clinical application.
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2017年第1期19-23,共5页
Journal of Audiology and Speech Pathology
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
关键词
舌系带延长术
构音障碍
舌尖前音
康复
Lingual frenectomy
Dysarthria
Supradental
Rehabilitation training
