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,P>0.05)和性别(r=0.090,P>0.1)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。
Objective To study the phonological characteristics and rehabilitation methods of abnormal velar consonants in operated patients with cleft palate.Methods A total of 110 patients（60 males and 50 females,aged 4 to 27 years with the mean age as 9.01±4.12）with abnormal velar consonants after cleft palate treatment over one month were involved in this study.According to the severity of articulation disorders,the patients were divided into mild,moderate and severe groups who received 1 to 5 weeks of targeted rehabilitation training.The phonological characteristics of abnormal velar consonants and the correction between velar consonant misarticulation and age/gender were analyzed.Results The error rate of/g/was 96.36%（106/110）which was the highest,then/k/and/h/was 74.55%（82/110）and 19.09%（21/110）,respectively.Both/g/（80.19%,85/106）and/h/（76.19%,16/21）mainly showed omission while/k/was mainly substituted by/h/（54.88%,45/82）and/t/（29.27%,24/82）.95 cases were cured and 12 cases improved after specific rehabilitation.The overall cure rate was 86.36%.The cure rates for the mild,moderate and severe groups were 96.00%（24/25）,90.91%（30/33）,and 78.85%（41/52）,respectively.Males accounted for 51.76%（44/85）and females for 48.24%（41/85） among omission cases;males accounted for 51.47%（35/68） and females for 48.53%（33/68）among substitution cases.There was no significant correction among the number of incorrect words and age（r=-0.140,P〈0.05） as well as gender（r=0.090,P〈0.1）.Conclusion Abnormal velar consonants in operated patients with cleft palate mainly had problems with/g/and/k/./g/showed mainly omission errors and/k/mainly substitution.The targeted rehabilitation methods established in the study are significantly beneficial.
出处
《听力学及言语疾病杂志》
CSCD
北大核心
2017年第4期369-374,共6页
Journal of Audiology and Speech Pathology
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
关键词
腭裂
舌根音
语音
康复
Cleft palate
Velar consonant
Phonology
Rehabilitation
