语音训练治疗边缘性腭咽闭合不全的效果与预后因素分析  

Efficacy of speech training in treating marginal velopharyngeal inadequacy:analysis of treatment outcomes and prognostic factors

作　　者：毛奇蓉 尹恒[1] 吴敏[1] 石冰[1] 郑谦[1] 李精韬[1] Mao Qirong;Yin Heng;Wu Min;Shi Bing;Zheng Qian;Li Jingtao(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of Cleft Lip and Palate Surgery,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全国重点实验室、国家口腔医学中心、国家口腔疾病临床医学研究中心、四川大学华西口腔医院唇腭裂外科,成都610041

出　　处：《国际口腔医学杂志》2024年第6期722-727,共6页International Journal of Stomatology

基　　金：四川大学华西口腔医院临床医学研究项目(LCYJ-2022-YF-2)。

摘　　要：目的探讨对腭裂术后边缘性腭咽闭合不全(MVPI)患者进行语音训练的可行性及预后因素分析。方法对腭裂术后确诊为MVPI并接受语音训练的患者进行了回访。对比治疗前后患者的语音情况评估语音训练的效果。分别进行单因素和多因素逻辑回归检验,分析语音训练后MVPI治疗效果的影响因素。结果语音训练能明显改善患者的高鼻音、构音和语音清晰度,但未能明显改善患者的鼻漏气。逻辑回归分析表明,治疗时的年龄是影响预后的重要因素。8岁以上患者的语音训练有效率(17.6%)明显低于8岁以下患者(58.3%)。结论语音训练是改善MVPI患者语音清晰度的有效治疗方法,年龄和是否存在鼻漏气可能是影响MVPI语音训练效果的关键因素。Objective The feasibility and prognostic factors of speech training for patients with marginal velopharyngeal inadequacy(MVPI)were explored.Methods Patients diagnosed with MVPI after primary palatoplasty and received speech training were recruited.Their speech condition before and after treatment was compared to assess the effectiveness of speech training.Univariate and multivariate logistic regression analysis were used to analyze the influencing factors of the treatment outcomes for MVPI after speech training.Results Speech training significantly improved the hypernasality,articulation,and speech clarity of patients with MVPI but failed to ameliorate their nasal emission.Univariant and multivariant logistic regression analyses suggested age at treatment as a factor significantly correlated with the prognosis of speech training.The effective rate of speech training was significantly lower among patients above the age of 8 years(17.6%)than those aged below 8 years(58.3%).Conclusion Speech training is an effective treatment in improving speech clarity in patients with MVPI.Age at treatment and nasal emission may be the prognostic factors of MVPI management.

关 键 词：腭咽闭合不全 腭裂 鼻漏气 语音训练 

分 类 号：R782.22[医药卫生—口腔医学]