综合语言康复治疗对运动性构音障碍的疗效  

Effect of Comprehensive Language Rehabilitation on Motility Dysarthria

作　　者：于国华[1] 吴芬[2] 李俊[1] 

机构地区：[1]南昌大学第一附属医院康复医学科,南昌330006 [2]江西省血液中心办公室,南昌330052

出　　处：《实用临床医学（江西）》2015年第5期61-64,共4页Practical Clinical Medicine

基　　金：江西省卫生计生委科技计划(20155193)

摘　　要：目的探讨综合语言康复治疗对运动性构音障碍的疗效。方法采用中国康复研究中心版《构音障碍评定表》、失语症筛查表及简易精神状态检查量表(MMSE)排除失语症以及认知功能障碍;系统训练包括松弛训练、呼吸训练、构音器官运动训练、构音类似运动训练、构音训练、韵律训练、视、听觉反馈的训练以及低频电刺激结合发声训练。治疗1个月后再次采用《构音障碍评定表》进行构音器官运动及构音的评定。对患者治疗前后评分进行比较。结果 61例患者在构音器官运动及构音方面均取得不同程度的提高。构音器官运动:治疗后在最长发音时间、头部控制、唇力度、舌外伸范围、灵活度方面改善率明显提高(P<0.01或P<0.05)。构音检查:治疗后较治疗前50单词检查[(22.84±14.81)个比(30.83±14.97)个,P<0.01)]、142个音节复述检查均明显提高[(52.42±43.49)个比(70.27±49.36)个,P<0.05)],文章正答率亦明显提高[(0.38±0.32)%比(0.52±0.31)%,P<0.05)]。结论采用综合语言康复治疗对运动性构音障碍有较好的康复效果。ABSTRACT:Objective To observe the clinical effect of comprehensive language rehabilitation on motility dysarthria.Methods The aphasia and cognitive dysfunction were excluded by using Dys-arthria Assessment Form (China Rehabilitation Research Center Edition),Aphasia Screening Scale and Mini-Mental State Examination (MMSE).Systematic training included relaxation train-ing,breathing training,articulator motion training,similar articulation motion training,articula-tion training,rhythm training,visual and auditory feedback training,and low frequency electrical stimulation combined with vocal training.After treatment for 1 month,articulator motion and ar-ticulation were evaluated again by using Dysarthria Assessment Form.The scores were compared before and after treatment.Results All the 61 patients achieved varying degrees of improvement in articulator motion and articulation.The longest pronunciation time,head control,lip strength, tongue overhanging range and tongue flexibility were obviously improved after treatment (P <0.01 or P < 0.05 ).In 50-word examination,the number of correct answers increased from 22.84±14.81 before treatment to 30.83 ± 14.97 after treatment.In 142-syllable repetition,the number of correct answers increased from 52.42±43.49 before treatment to 70.27±49.36 after treatment.The correct answer rate of article increased from (0.38±0.32)% before treatment to (0.52±0.31)% after treatment(P < 0.05 or P < 0.01).Conclusion Comprehensive language&nbsp;rehabilitation is effective for motility dysarthria.

关 键 词：运动性构音障碍 语言康复治疗 构音器官运动 构音 

分 类 号：R741[医药卫生—神经病学与精神病学]