粤语训练对卒中后粤语运动性构音障碍患者的康复效果  

Rehabilitation effect of Cantonese training for Cantonese motility dysarthria

作　　者：李敏 王璇[2] 李胜活[2] 潘翠环[2] 陈艳[2] 张朝霞 谢晓娜 

机构地区：[1]广州市海珠区第一人民医院神经内科 [2]广州医学院第二附属医院康复科 [3]广州市海珠区第一人民医院康复医学科

出　　处：《中国脑血管病杂志》2013年第2期70-73,共4页Chinese Journal of Cerebrovascular Diseases

摘　　要：目的探讨应用粤语拼音方案的发音标准配合构音器官运动功能训练,对卒中后粤语构音障碍患者的康复效果。方法前瞻性地将符合入组标准,母语为粤语的脑梗死后所致运动性构音障碍的患者58例,按纳入顺序的单双号,分为粤语训练组(29例)和普通话训练组(29例)。在治疗前及治疗后4周以Frenchay构音障碍评定法评定功能障碍的程度。两组患者均接受构音器官运动功能训练及构音训练。粤语训练组的构音训练方案根据粤语拼音方案进行评估,普通话训练组的构音训练方案使用中国康复研究中心的构音障碍评估表进行评估。结果①治疗后4周,粤语训练组和普通话训练组患者构音正常的例数各占37.9%(11/29)和17.2%(5/29),轻、中、重、极重度构音障碍各占37.9%(11/29)和27.6%(8/29)、13.8%(4/29)和34.5%(10/29)、7.0%(2/29)和13.8%(4/29)、3.4%(1/29)和7.0%(2/29)。两组治疗后构音障碍程度的比较,差异有统计学意义(P=0.04)。②粤语训练组和普通话训练组构音障碍程度均较治疗前好转,自身比较差异有统计学意义(χ2=21.85,P=0.000;χ2=6.33,P=0.012)。③粤语训练组和普通话训练组经治疗后,有效率分别为89.7%(26/29)和65.5%(19/29),差异有统计学意义(χ2=3.99,P=0.028)。结论粤语训练组采用的治疗方案能更有效地促进卒中后粤语构音障碍患者的康复。Objective To investigate the treatment effect of using pronunciation standards of Canto nese romanization scheme in combination with motor function training of the articulatory organs in patients with Cantonese dysarthria. Methods A total of 58 patients with motility dysarthria caused by cerebral infarction who met the inclusion criteria and whose native language was Cantonese were enrolled respectively according to the order of odd and even numbers. They were divided into either a Cantonese training group （n=29 ） or a mandarin training group （n=29）. The severity of dysfunction was assessed by Frenchay dysarthria assessment 4 weeks before and after treatment. Both groups received the motor function training and pronunciation training of the articulation organs. The pronunciation training program of the Cantonese training group was evaluated according to the Cantonese romanization scheme; and the mandarin training group was evaluated using the dysarthria assessment method of the China Rehabilitation Research Center （CRRC）. Results ①Four weeks after treatment, the patients with normal pronunciation were 37.9% （11/29） and 17.2% （5/29）respectively, and those with mild, moderate, severe, and extremely severe dysarthria were 37.9 % （ 11/29 ） and 27.6 % （8/29）, 13.8 % （4/29） and 34.5 % （10/29）, 7.0% （2/29） and 13.8% （4/29）, 3.4% （1/29） and 7.0% （2/29）, respectively in the Cantonese training group and mandarin training group. There were significant differences between the two groups （P=0.04）. ②There were significant differences in comparing the severity of dysarthria before and after treatment between the two groups （χ^2 =21.85, P=0.000; χ^2 =6.33, P=0.012）. ③The effective rates in the Cantonese training group and the mandarin training group after treatment were 89.7% （26/29） and 65.5% （19/29） respectively. The difference was statistically significant （χ^2= 3.99, P=0.028）. Conclusion The therapeutic scheme used by the Cantonese training grou

关 键 词：卒中 构音困难 语言疗法 粤语拼音方案 

分 类 号：R473.74[医药卫生—护理学]