脑卒中后构音障碍患者构音器官运动功能与言语清晰度的相关性  

Relationship between motor function of articulation organs and speech intelligibility in poststroke dysarthria

作　　者：罗薇[1,2] 何怡[1,2] 张庆苏[1,2] LUO Wei;HE Yi;ZHANG Qingsu(Department of Speech and Hearing Therapy,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China)

机构地区：[1]中国康复研究中心北京博爱医院听力语言科,北京市100068 [2]首都医科大学康复医学院,北京市100068

出　　处：《中国康复理论与实践》2024年第7期818-822,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家重点研发项目(No.2020YFC2004105);中国康复研究中心基金项目(No.2023ZX-17)。

摘　　要：目的 探讨脑卒中后构音障碍患者构音器官运动功能与言语清晰度(SI)之间的关系。方法 选择2020年11月至2023年10月北京博爱医院收治的住院脑卒中后构音障碍患者67例,采用SI测试和Frenchay构音障碍评价(FDA)进行评定,SI≤65%为低SI组,SI> 65%为高SI组。结果 除颌位置外,高SI组FDA各项评分均低于低SI组(Z> 1.543, P <0.05)。FDA各项评分均与SI呈负相关(r <-0.343, P <0.001),其中与唇运动、舌运动和喉控制3项评分的相关性最大(r <-0.6)。结论 脑卒中后构音障碍患者构音器官运动功能与SI相关,特别是唇、舌、喉的功能。Objective To investigate the relationship between motor function of articulation organs and speech intelligibility(SI)in patients with dysarthria after stroke.Methods A total of 67 patients with dysarthria after stroke in Beijing Bo'ai Hospital from November,2020 to October,2023 were collected.They were assessed with SI test and Frenchay Dysarthria Assessment(FDA).The patients were divided into low SI group(SI≤65%)and high SI group(SI>65%).Results All the sub-scores of FDA were lower in the high SI group than in the low SI group(Z>1.543,P<0.05),except that of the jaw;and the SI was negatively pairwise correlated with FDA sub-scores(r<-0.343,P<0.001),especially with the lip,tongue and laryngeal(r<-0.6).Conclusion The motor function of articulation organs may be related to SI in patients with dysarthria after stroke,especially the lip,tongue and laryngeal.

关 键 词：脑卒中 构音障碍 构音器官 运动功能 言语清晰度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]