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目的:探讨腭-心-面综合征异常语音患者有效的语音治疗方法。方法:选取腭-心-面综合征行咽成形术后患者57例(男30例,女27例),年龄4-17岁(平均10.6岁)。在汉语语音教学基础上,用简单易学的行为模式进行诱导,建立正确的发音部位与发音方法。比较治疗前、后的语音清晰度和过度鼻音,采用SPSS16.0软件包分别对数据进行t检验和Wilcoxon符号秩和检验,评价疗效。结果:57例患者经2-8个月的语音治疗,语音清晰度由治疗前的33.75%提高到治疗后的97.86%,差异显著(P<0.01)。治疗前轻度过度鼻音7例,中度33例,重度17例;治疗后异常鼻音消除者38例,轻度异常鼻音17例,中度异常鼻音2例,经秩和检验,两者具有显著差异(P<0.01)。结论:对存在严重语音障碍并伴有学习能力缺陷的腭-心-面综合征患者,在汉语语音教学基础上,应用行为诱导模式,可以恢复正常语音清晰度。
Objective: To investigate the effective speech therapy in patients with palatal-cardio-facial syndrome abnormal speech. Methods: Fifty-seven patients (30 males and 27 females) aged from 4 to 17 years (average 10.6 years) with pharyngoplasty were selected. On the basis of Chinese phonetic teaching, using simple and easy-to-learn behavior patterns to induce and establish correct pronunciation parts and pronunciation methods. The speech intelligibility and excessive nasal tone were compared before and after treatment. The data were analyzed by t-test and Wilcoxon signed rank sum test using SPSS16.0 software package to evaluate the curative effect. Results: In 57 patients, after 2-8 months of speech therapy, the speech intelligibility increased from 33.75% before treatment to 97.86% after treatment, with significant difference (P <0.01). There were 7 mild mild nasal abnormalities before treatment, 33 moderately severe and 17 severe ones. There were 38 cases of abnormal nasal elimination, 17 mild nasal abnormalities and 2 moderate abnormal nasals after treatment. The two groups were significant Difference (P <0.01). CONCLUSIONS: For patients with palatal-cardio-facial syndrome who have severe speech impairment and learning disabilities, based on Chinese phonetic teaching, behavior-induced patterns can be used to restore normal speech intelligibility.