语音训练在舌癌术后患者功能恢复中的应用价值  

Applied value of speech training for functional recovery of patients with tongue carcinoma after operation

作　　者：李新明[1] 李峰[1] 冯艳萍[1] 刘霞[1] 

机构地区：[1]郑州大学第一附属医院口腔颌面外科,河南省郑州市450052

出　　处：《中国临床康复》2004年第32期7092-7093,共2页Chinese Journal of Clinical Rehabilitation

基　　金：河南省科技攻关计划项目(重点)基金资助(324410052)~~

摘　　要：目的:改善术后舌及口底肌肉功能,减轻病理性语音程度,恢复正常语言功能。方法:85例舌癌术后患者,随机分为功能训练组50例(A组)和非功能训练组35例(B组)。A组于术后4周开始进行系统的语音功能训练,包括①发音器官练习:唇、舌辅音练习,舌尖音练习,短文会话练习。②正确构音练习:增加口腔气压练习及节制呼气练习等,共40周以上时间。B组无功能训练。两组均随访和采用语音评分标准对语音功能的恢复进行评定,随访期为4个月～4年。结果:A组50例中45例(90%)有效,语言功能评分4～6分;5例(10%)无效,语言功能评分0～2分。B组35例中20例(57.14%)有效,语言功能评分3～4分;15例无效(42%),经统计学处理,A组明显优于B组(P<0.05)。A组能按正确的发音方法较熟练地朗读及会话,能达到或接近正常人的语音清晰度。结论:语音功能训练对舌癌术后的语音恢复有效。AIM:To improve the function of tongue and oral floor muscle, release the pathological speech degree and recover the normal speech function. METHODS:Totally 85 tongue cancer patients after operation were randomly divided into function training group with 50 cases (group A) and non function training group with 35 cases (group B). Systematic speech training was conducted in group A 4 weeks after operation. The speech training included: ①speech organ training which includes clip and tongue consonant exercise,apical exercise,conversation training. ②correct sound formation exercise: increase excise and respiration control excise. The training time was above 40 weeks. While group B had no function training. The restoration of speech function of two groups was evaluated by standard speech grading after follow up of 4 months to 4 years. RESULTS:In 50 coses group A,45 cases (90%) were effective and the score of language function was 4-6; 5 cases (10%) were invalidate and the score of language function was 0-2.In group B, 20 in 35 cases were effective(57.14%)and the score of language function was 3-4;15 cases(42%)were invalidate. The patients in group A was obviously better than group B after statistic treatment (P< 0.05). Group A could read and make conversation more dexterously according to the correct method of phonation, and could reach or approach to the normal person's acuity of phone. CONCLUSION:Speech training was effective in speech function restoration of tongue cancer patients after operation.

关 键 词：舌肿瘤 语言疗法 康复 

分 类 号：R73[医药卫生—肿瘤]