年龄对舌系带延长术后语音障碍患者预后的影响  

The Age Effects on the Prognosis of Patients with Dysarthria after Lingual Frenectomy

作　　者：张艳云[1] 李峰[1] 徐丽娜[1] 高楠[1] 吕自愿[1] Zhang Yanyun Li Feng Xu Lina Gao Nan Lv Ziyuan(Department of Speech Therapy, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Chin)

机构地区：[1]郑州大学第一附属医院口腔语音治疗科,郑州450052

出　　处：《听力学及言语疾病杂志》2017年第2期154-157,共4页Journal of Audiology and Speech Pathology

基　　金：河南省教育厅科技基金(2009A320023);河南省卫生厅科技基金(201003030)联合资助

摘　　要：目的探讨年龄对舌系带延长术后语音障碍患者预后的影响,以期为舌系带延长术后语音障碍患者开展语音评估和术后康复矫治提供参考。方法选择154例舌系带延长术后一个月仍未恢复正常语音的患者为研究对象,其中学龄前期(3~6岁)83例、学龄期(7~12岁)52例、青春期(13~18岁)11例及成人(>18岁)8例,应用Model 4500计算机语音工作站以汉语语音清晰度测试表分别测试各组对象的语音清晰度(phonetic intelligibility,PI)值,对年龄和各组PI值的关系做关联性分析和简单线性回归分析。结果学龄前期、学龄期、青春期、成人四组舌系带延长术后一个月语音障碍患者的PI值平均为25.37%±16.25%、39.14%±18.11%、50.64%±20.24%、64.63%±20.28%,PI值与年龄存在正相关(r=0.467,P<0.05),表明PI值随年龄的增长有增加的趋势;进一步经简单线性回归分析得出年龄对患者PI值的决定系数为0.270,说明年龄对舌系带延长术后语音障碍患者预后有一定影响。结论舌系带延长术后仍存在语音障碍患者的PI值随年龄的增长有升高的趋势,且年龄对其预后有一定影响,但不是唯一的影响因素;舌系带延长术后一个月仍存在语音障碍的患者应及时就诊进行语音康复矫治。Objective To explore the age effects on the prognosis of patients with dysarthria after lingual frenectomy,to provide clinical basis for the corresponding speech evaluation and treatment of the patients.Methods154 patients with dysarthria one month after lingual frenectomy were recruited as the research objects,83 cases of preschool,52 cases of school-age,adolescent 11 cases and 8 cases of adult were included.Their articulation was recorded after postoperative recovery one month by the computer speech lab（Model 4500）according to the test table,then the recording materials were analyzed.After the patients＇ phonetic intelligibility（PI）was evaluated,the correlation and simple linear regression analysis for age and PI were carried on.Results The PI of patients with dysarthria one month after lingual frenectomy was positively correlated with age（r=0.467,P0.05）.That indicates PI has an increasing trend with the growth of age.The result of simple linear regression analysis showed that the determination coefficient of age to PI was 0.270.It showed that age had an influence on the prognosis of patients with PI after lingual frenectomy.Conclusion Aging was one of the important factors for the prognosis of patients with dysarthria after lingual frenectomy,but it is not the only factor.The patients with dysarthria one month after lingual frenectomy should be received treatment in time,speech training must be corrected at about 4 to 8 years old with dysarthria without surgery.

关 键 词：年龄 舌系带延长术 语音障碍 预后 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]