非流畅性失语症患者疑问句语调产出的特点  

Clinical Characteristics of Interrogative Intonation in Non-fluent Aphasia Patients

作　　者：万勤 杨闪闪 黄昭鸣 张梓琴 王勇丽 钱红 Wan Qin;Yang Shanshan;Huang Zhaoming;Zhang Ziqin;Wang Yongli;Qian Hong(Department of Education and Rehabilitation,East China Norma University,Shanghai,200062,China;不详)

机构地区：[1]华东师范大学教育学部教育康复学系,上海200062 [2]上海交通大学医学会附属新华医院 [3]滨州医学院特殊教育学院 [4]上海市第五康复医院

出　　处：《听力学及言语疾病杂志》2022年第1期30-33,共4页Journal of Audiology and Speech Pathology

摘　　要：目的探讨非流畅性失语症患者疑问句语调产出的临床特点,为其康复治疗提供参考。方法2018年11月至2019年1月,以改编疑问语句为测试材料对17例非流畅性失语症患者(研究组,平均年龄56.65±12.53岁,病程9.35±6.94月)和17例正常成人(正常对照组,平均年龄55.94±13.20岁)进行疑问句语调产出评估,观察整句平均基频F0和基频斜率值K以及边界调平均基频F0和基频斜率值K;采用2(组别)×4(声调类型)的两因素混合实验设计,考察不同声调类型和受试者类型之间的差异及相互影响。结果研究组患者一、二、三、四声调的上述四个声学指标值均小于正常对照组,差异均有统计学意义(P<0.05);整句F0、整句K和边界调K在不同声调上有明显差异(P<0.05),整句F0表现为T1、T4>T2、T3,整句K表现为T1、T2>T4;边界调K表现为T2、T3>T1>T4。结论非流畅性失语症患者在疑问句语调的产出异常,主要表现为整句和边界调抬高水平以及上扬趋势的不足,在进行疑问语调康复训练时可以依据其整句和边界调抬高水平和走势特征进行针对性训练。Objective To explore the characteristics of interrogative intonation in non-fluent aphasia patients and provide reference for clinical rehabilitation.Methods From November 2018 to January 2019,17 patients with non-fluent aphasia patients(age56.65±12.53 years)and 17 normal adults(age55.94±13.20 years)were evaluated for interrogative production using self-compiled interrogative sentences as test materials.Evaluation indicators included fundamental frequency slope values and average fundamental frequency values of the whole sentence and boundary tone.The two-factor mixed experiment design of 2(group)×4(tone type)was used to investigate the differences and mutual influences between different tone types and subjects.Results There were significant differences between non-fluent aphasia patients and normal controls(P<0.05),and the four acoustic parameters of the non-fluent aphasia under one,two,three and four tones were smaller than the normal control group.The F0 and K of whole sentence and K of boundary tone were significantly different in different tones(P<0.05).The whole sentence F0 represented by T1,T4>T2,T3;K of whole sentence represented by T1,T2>T4;K of boundary tone represented by T2,T3>T1>T4.Conclusion The whole sentence and the boundary elevation level and the upward trend are not enough indicats that the production of interrogative sentences in non-fluent aphasia patients is impaired.In interrogative intonation training,we may raise the level and trend characteristics according to the whole sentence and boundary tone.

关 键 词：非流畅性失语症 疑问句 语调 声学指标 

分 类 号：H018.4[语言文字—语言学]