腭裂术后方言和普通话语音训练语音恢复状况对比分析  

The Analysis of Articulation in Dialect and Mandarin Voice Training in Patients with Cleft Palate after Operation

作　　者：肖文芝[1] 张艳玲[1] 骆琦[1] 陈涌[1] 刘华[1] 

机构地区：[1]云南省第二人民医院口腔外科,云南昆明650021

出　　处：《昆明医科大学学报》2015年第10期114-117,共4页Journal of Kunming Medical University

基　　金：云南省卫生科技计划基金资助项目(2012WS0113)

摘　　要：目的评价腭裂修复术后采用普通话和方言2种不同语音训练方式后的语音恢复状况.方法评估437例患者腭裂修复术后的语音恢复情况,对不同语言语音训练方法后语音改善效果进行回顾性分析.结果通过主观和客观评价,242例患者腭裂修复术后语音恢复情况良好,恢复率为55.37%,4岁前接受手术患者的语音恢复率为69.26%,4岁后手术语音的恢复率为35.03%,P<0.01.其中68例患者接受专业语音训练,35例患者利用语音磁带自行训练,139例患者从未经历专业或业余的语音训练.213例患者日常使用云南方言进行交流,使用汉语普通话或云南方言的训练方法均能改善语音,其结果差异无统计学意义,P>0.05.结论腭裂患者术后语音恢复情况与患者手术年龄有关,年龄越小,语音恢复率越好.腭裂术后语音训练,可辅助良好和边缘性腭咽闭合患者术后语音功能恢复.患者日常方言使用率高于普通话使用率,可根据需要采用相应语言的语音训练方式训练.Objective To evaluate the speech recovery in patients with cleft palate after operation using mandarin or dialect training.Methods We assessed the velopharyngeal function and management of speaking in437 patients received cleft palate repairing.Results 242 patients＇ speech recovered well in 437 patients after subjective and objective evaluation,69.26% of the patients had normal phonetic who accepted palatorraphy less than4 years old, but 35.03% had normal phonetic who accepted palatorraphy more than 4 years old; and 68 patients underwent voice training,35 patients training themselves following tape,the others had no any phonetic therapy.Most of them（387） communicate in local dialect.Conclusion Speech recovery depends on the age of palatorraphy,and the better the earlier.Velopharyngeal function recovery examination is necessary after cleft palate repairing.It＇s good for children to have voice training as soon as possible to improve voice who have VP and marginal velopharyngeal insufficiency after palatoplasty.There is no deference in speech training between mandarin and dialect.Most of the patients communicate in dialect,the patients can choose language to train depending their convenience.

关 键 词：腭裂 腭咽闭合 方言与普通话 语音评价 

分 类 号：R782.22[医药卫生—口腔医学]