国内42家医疗机构腭裂术后语音治疗现状调查  

The current status of speech therapy for cleft patients in 42 medical institutions in China

作　　者：杨阳[1] 蒋莉萍[1] 刘琼[1] 王国民[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》2014年第1期25-29,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：国家自然科学基金(81070813);上海市科学技术委员会资助项目(08411967900)~~

摘　　要：目的:探讨国内腭裂术后语音治疗现状及其主要影响因素。方法:针对来自28个省42家医疗机构的语音治疗师发放调查问卷,汇总问卷结果,统计各医疗机构语音门诊成立情况及语音设备配置,各语音师培训经历及执业资格,各语音门诊语音治疗现况等相关数据。结果:42家医疗机构均设置唇腭裂病房,共有语音治疗室36家,其中75%成立时间小于5年,接诊量平均每周10人以下,语音设备不完善,单次收费较低,治疗周期低于20次,语音师中约2/3为护理人员,其余为外科医师兼任,培训方式主要为短期进修。结论:起步较晚,重视不足,尚未成立语音病理学科,缺乏系统化培训和相应职称,专业设备和语音随访体系有待完善,是我国在腭裂术后语音治疗方面的基本现状。PURPOSE： To investigate the current status and affecting factors of speech therapy for cleft palate patients in China. METHODS： Questionnaires were sent to speech therapists in 42 facilities from 28 provinces in China, regarding the setup, equipment and establishment time of speech clinic, patient number, the experience and qualification of the therapists, the charge for each session, and the course of therapy. RESULTS： All 42 facilities had surgical wards for cleft patients, but only 36 had speech clinics, 75% of which were established less than 5 years. The patient number was less than 10 patients per week in average. The equipment was poorer and the charge for each session was low. The course of therapy was less than 20 times. About two thirds of the speech therapists came from nurses, others were part-time therapists by surgeons. The main training method was short-term fellowship. Considering the basic conditions of China as a developing country, the affecting factors were the lack of awareness of the importance of speech therapy, lack of regulations and qualifications for speech therapists, long course of therapy, and high additional costs. CONCLUSIONS： Speech therapy for cleft patients started late in China, with no departments of speech pathology, systematic training program and professional degrees, and lack of professional equipment and follow-up. More attention and investment are needed to promote normative and rapid development of speech therapy in China.

关 键 词：语音治疗 腭裂术后 语音病理学 

分 类 号：R782.21[医药卫生—口腔医学]