三维可视化言语康复训练在脑卒中后构音障碍患者中的应用效果分析  

Application effect analysis of 3D visual speech rehabilitation training in poststroke patients with dysarthria

作　　者：韦慧敏 李丽 张玉梅[2] Wei Huimin;Li Li;Zhang Yumei(Center of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China;Department of Rehabilitation Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京天坛医院神经病学中心,北京100050 [2]首都医科大学附属北京天坛医院康复医学科,北京100050

出　　处：《中国医刊》2024年第8期887-890,共4页Chinese Journal of Medicine

基　　金：国家重点研发计划(2020YFC2004105)。

摘　　要：目的探讨三维可视化言语康复训练在脑卒中后构音障碍患者中的应用效果。方法选取2022年7月至2023年10月首都医科大学附属北京天坛医院收治的80例脑卒中后构音障碍患者为研究对象,在组间基线特征可比的原则上,采用随机数字表法分为对照组(41例)和观察组(39例)。对照组患者给予常规康复训练,观察组患者给予常规康复训练联合三维可视化言语康复训练,两组患者均连续治疗2周。比较分析两组患者治疗前后的构音障碍严重程度[Frenchay构音障碍评估量表(FDA)评分]、语音清晰度以及声学参数[共振峰F1、共振峰F2、音高、音强、元音空间面积(VSA)、元音清晰度指数(VAI)、共振峰集中率(FCR)、下颌距]。结果治疗前,两组患者的FDA评分、语音清晰度、共振峰F1、共振峰F2、音高、音强、VSA、VAI、FCR、下颌距比较差异均无统计学意义(P>0.05);治疗2周后,两组患者的FDA评分、语音清晰度、共振峰F2、音高、音强、VAI与治疗前比较均显著升高,且观察组优于对照组,差异均有统计学意义(P<0.05);两组患者的FCR与治疗前比较均降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论三维可视化言语康复训练可显著减轻患者的构音障碍严重程度,提高语音清晰度,改善声学参数,从而促进患者的康复。Objective To analyze the application effect of 3D visual speech rehabilitation training in poststroke patients with dysarthria.Method 80 patients with poststroke dysarthria admitted to Beijing Tiantan Hospital,Capital Medical University from July 2022 to October 2023 were selected as the study objects.They were divided into control group(41 cases)and observation group(39 cases)by random number table method.The control group was given routine rehabilitation training,and the observation group was given routine rehabilitation training combined with 3D visual speech rehabilitation training.Two groups were treated continuously for 2 weeks.The severity of dysarthria(FDA score),speech intelligibility and acoustic parameters(formant F1,formant F2,pitch,intensity,VSA,VAI,FCR,mandibular distance)before and after treatment were compared between the two groups.Result Before treatment,there were no signifi cant differences in FDA score,speech intelligibility,formant F1,formant F2,pitch,intensity,VSA,VAI,FCR and mandibular distance between two groups(P>0.05).After 2 weeks of treatment,the FDA score,speech intelligibility,formant F2,pitch,intensity and VAI in two groups were signifi cantly increased than those before treatment,and the observation group was better than the control group,with statistical signifi cance(P<0.05).The FCR in two groups was decreased than that before treatment,and the observation group was lower than the control group,with statistical signifi cance(P<0.05).Conclusion 3D visual speech rehabilitation training can signifi cantly reduce the severity of dysarthria,and improve speech intelligibility,acoustic parameters,and thus promote the rehabilitation of patients.

关 键 词：三维可视化言语康复训练 脑卒中 构音障碍 语音清晰度 声学参数 

分 类 号：R743[医药卫生—神经病学与精神病学]