65例腭裂术后MVPI患者构音特点及治疗策略探讨  

Articulation of 65 patients with MVPI and the speech therapy approach after repair of cleft palate

作　　者：马思维[1] 任战平[1] 文抑西[1] 李锦峰[1] 侯玉霞[1] 

机构地区：[1]西安交通大学口腔医院,710004

出　　处：《实用口腔医学杂志》2013年第6期844-847,共4页Journal of Practical Stomatology

摘　　要：目的：探讨边缘性腭咽闭合不全（marginal or borderline velopharyngeal inadequacy,MVPI）的诊断,MVPI患者构音障碍的特点、语言治疗策略等.方法：对2010-05 ～2012-06我院语言治疗门诊接诊的65例腭裂术后MVPI患者的语音评估和语言治疗的回顾性分析,通过主观判听和鼻咽纤维镜检查两方面的腭咽功能评估,诊断MVPI,对语音评估的结果进行音韵历程分析；回顾接受语言治疗的治疗策略及周期；并分析构音特点对不同治疗状态（语言治疗和手术）的影响.结果：MVPI患者构音错误以声母省略和后置构音为多见,声母省略主要见于不送气音.声母省略的治疗重点为选择有效的目标音诱发策略（facilitative techniques）,后置构音的治疗重点为前移构音位置,改善整体构音规则.MVPI患者类化到短语水平的平均语言治疗周期为10次.接受进一步手术治疗的患者均存在长句的低压力构音问题.结论：声母省略对语言清晰度的影响大,是MVPI患者语言治疗的重点.长句中的低压力构音问题是进行手术决策的指征之一.Objective：To study the speech feature and speech therapy approach of 65 cases with repaired cleft palate and with marginal or borderline velopharyngeal inadequacy（MVPI）.Methods：The patients with repaired cleft palate were allocated to MVPI dependent on the velopharyngeal（VP） function assessed by a experienced speech pathologists and nasoendoscopy（NPS） examination.The articulation disorder of MVPI patients was studied by phonologic methods.Results：Most of the MVPI patients showed omission and backing articulations disorders.The omission was common in unaspirated phonemes.The key approach of omission treatment was the facilitative techniques.The mean total speech therapy was conducted for 10 times.The feature of weak pressure in sentences was prompting the need for operation.Conclusion：Omission is the main factors influencing intelligibility.The approach of omission correction should be the focus of the speech therapy of the patients with MVPI.

关 键 词：边缘性腭咽闭合不全 构音 声母省略 后置构音 语言治疗 

分 类 号：R782.22[医药卫生—口腔医学]