腭-心-面综合征患者语音治疗方法探讨  

The effect of speech therapy used in velocardiofacial syndrome patients

作　　者：蒋莉萍[1] 王国民[1] 杨育生[1] 刘琼[1] 杨阳[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院.口腔医学院口腔颅颌面科唇腭裂治疗中心 上海市口腔医学重点实验室,上海200011

出　　处：《中国口腔颌面外科杂志》2013年第4期315-318,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：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。PURPOSE：To evaluate the effect of speech therapy for velocardiofacial syndrome（VCFS） patients with abnormal pronunciation.METHODS：Fifty-seven VCFS patients,30 males and 27 females,who were treated with palatopharyngoplasty were included in this study.The patients aged from 4 to 17 years with a mean age of 10.6 years.They were guided by behavior pattern,which was easy to learn based on Chinese pronunciation teaching in order to establish correct pronunciation location and method.Speech articulation pre-and post-treatment was compared by student’s t test and hypernasality pre-and post-treatment was compared by Wilcoxon signed-rank test using SPSS16.0 software package.RESULTS：After 2 to 8 months of speech therapy,speech articulation of the 57 patients was increased from 33.75% pre-treatment to 97.86% post-treatment.There was significant difference between the two groups（P＆lt;0.01）.Hypernasality of the 57 patients pre-treatment were 7 mild,33 moderate and 17 severe,while 38 patients were cured,17 mild and 2 moderate post-treatment.There was significant difference between per-and post-treatment（P ＆lt;0.01）.CONCLUSIONS：To those VCFS patients with severe voice disorder and learning disability,behavior guidance pattern based on Chinese pronunciation teaching can help to establish normal speech articulation.

关 键 词：腭-心-面综合征 语音治疗 语音清晰度 过度鼻音 

分 类 号：R782.2[医药卫生—口腔医学]