行为疗法在腭化构音治疗中的应用  

The use of behavior therapy in palatalized misarticulation

作　　者：周海燕[1] 徐旭光[1] 姒壮[1] 

机构地区：[1]哈尔滨医科大学附属第二医院口腔颌面外科,黑龙江哈尔滨150086

出　　处：《中国口腔颌面外科杂志》2007年第5期352-354,共3页China Journal of Oral and Maxillofacial Surgery

基　　金：黑龙江省教委科研基金(104511112)~~

摘　　要：目的:利用行为疗法改善各类腭化构音异常患者的不良发音习惯,提高患者的语音清晰度。方法:收集不同类型腭化构音患者67例,年龄4～22岁(平均12.5岁);其中,腭裂术后腭化构音障碍患者28例,先天性腭咽闭合不全术后腭化构音患者22例,功能性腭化构音异常患者17例,智力均在75%以上,听力≤25dB,语音清晰度75%以下。所有患者均经过系统完善的行为治疗,并由3位资深医师/语音治疗师进行治疗前后语音清晰度判听、量分,并应用行为疗法进行治疗。采用SAS6.0软件包对数据进行配对t检验。结果:腭化构音多累及辅音,经系统性行为治疗后,语音清晰度均较治疗前显著提高,由治疗前语音清晰度均值51.85%提高到94.71%,改善率均值为42.87%(P<0.01)。结论:行为疗法用于各类腭化构音障碍患者,有效提高患者的语音清晰度。PURPOSE： Behavior therapy was applied to correct palatalizd misarticulation. METHODS：67 patients were selected, their aged ranged from 4 to 22 years（average： 12.5 years）. Among them, 28 patients underwent cleft palate repair, 22 patients had lateral movement misarticulation after operation with VPI ,17 patients had functional misarticulation. The intelligence of the patients was 75%, hearing ≤ 25 dB, speech intelligibility ≤75%. The patients all received systematic behavior therapy. Three experienced doctors/speech pathologists evaluated the speech intelligibility before and after behavior therapy. SAS6.0 software package was used for paired t test. RESULTS： Palatalized misarticulation mostly involved consonant, after behavior therapy,speech intelligibility improved significantly （P〈0.001）. CONCLUSIONS： Behavior therapy can improve speed intelligibility in patients with palatalized misarticulation.

关 键 词：腭化构音 行为疗法 语音清晰度 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]