痉挛型构音障碍脑性瘫痪患者不同发音部位辅音发音的特点  

Consonant pronunciation in spastic dysarthria

作　　者：陈卓铭[1] 杜志宏 

机构地区：[1]暨南大学附属第一医院语言障碍中心,广州510632 [2]广州市妇女儿童医疗中心神经康复科

出　　处：《中华物理医学与康复杂志》2011年第11期827-829,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：基金项目：国家863科技项目（2007AA022482）;广州市成果推广项目（2007C13G0131）

摘　　要：目的研究痉挛型构音障碍的脑瘫患者辅音发音的特点，为康复计划的制订提供理论依据。方法采用中国康复研究中心制订的构音障碍检测法检测存在痉挛型构音障碍的脑瘫患者28例，同时使用Cooleditpro录音软件和Praat语音分析软件分析发音情况，计算所有患者21个辅音的各类错误发音，分析错误发音的方式，总结错误发音的特点。结果按发音部位分类，痉挛型构音障碍的脑瘫患者辅音错误发音分为六类，28例患者中，唇音的错误率为20．54％，舌尖前音错误率为71．43％，舌尖中音的错误率为52．68％，舌尖后音错误率为71．43％，舌面音错误率为53．57％，舌根音的错误率为35．71％。结论痉挛型构音障碍的脑瘫患者以舌尖前音和舌尖后音的辅音错误率最高，唇音的辅音错误率最低。Objective To research the consonant pronunciation of patients with spastic dysarthria as a result of cerebral palsy and supply a theoretical basis for their rehabilitation. Methods Twenty-eight cerebral palsy patients with spastic dysarthria were examined using a dysarthria examination scale developed by the China Rehabilitation Research Center. The whole process of the tests was recorded using Cool Edit recording software. Praat4 was used to evaluate their pronunciation according to the pronunciation criteria of ＂ experimental phonology＂. Their error rates on 21 consonants were counted and the characteristics of the articulation errors were summarized. Results According to the location of articulation, the inaccuracy rates on labials, dentals, apicals, blade-palatals, palatals and velars in the 28 patients were 21% , 71% , 53% , 71% , 54% and 36% respectively. Conclusions Patients with spastic dysarthria as a result of cerebral palsy have the most difficulty pronouncing dentals and blade-palatal consonants. They find labial consonants the easiest.

关 键 词：痉挛型构音障碍 脑瘫 辅音 语音分析 

分 类 号：R742.3[医药卫生—神经病学与精神病学]