华西口腔医学杂志

• 基础研究 • 上一篇    下一篇

腭裂患者错误构音的相关因素研究

郭春丽 马利 尹恒 李杨 赵树蕃 石冰 郑谦   

  1. 口腔疾病研究国家重点实验室 华西口腔医院唇腭裂外科(四川大学),成都 610041
  • 出版日期:2014-10-01 发布日期:2014-10-01
  • 通讯作者: 尹恒,语音师,硕士,E-mail:Phoebeyin@126.com
  • 作者简介:郭春丽,语音师,学士,E-mail:vivian_guo1225@sina. com
  • 基金资助:

    卫生部国家重点专科建设基金资助项目(2011年)

Correlative factors on the articulation disorder of patients with cleft palate

Guo Chunli, Ma Li, Yin Heng, Li Yang, Zhao Shufan, Shi Bing, Zheng Qian.   

  1. State Key Laboratory of Oral Diseases, Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Online:2014-10-01 Published:2014-10-01

摘要:

目的 通过对比研究腭咽闭合完全后构音的变化来探讨构音与腭咽功能和手术年龄的相关性,并同时探讨影响患者手术前后辅音脱落变化的相关因素。方法 选择2011年1—12月符合纳入标准的48例非综合征型腭裂患者,其中男18例,女30 例,平均年龄(13.3±5.8)岁。回顾性分析其相关语音数据,对其术前与术后的构音变化情况进行非参数检验,对构音改变程度与手术年龄等进行相关性分析。以P<0.05为具有统计学意义。结果 经过非参数检验腭咽闭合完全后构音的变化有统计学意义(Z=-3.796,P=0.000);术后构音恢复正常的百分比与手术年龄负相关(R=-0.487,P=0.000)。辅音脱落的改变程度与手术年龄呈正相关(R=0.589,P=0.000);与复诊时间呈负相关(R=-0.235,P=0.040);与性别呈正相关(R=0.404,P=0.047)。结论 腭咽闭合完全后构音明显好转,语音清晰度明显改善;患者达到腭咽闭合完全的年龄越小,术后构音恢复正常的百分比越高。辅音脱落的改变与患者年龄和性别呈正相关,与复诊时间呈负相关。

关键词: 构音, 腭咽闭合完全, 辅音脱落, 相关因素

Abstract:

Objective To investigate the correlation between articulation, velopharyngeal function, and surgical age by comparing the changes in articulation after velopharyngeal closure is performed. This study is also conducted to investigate the influencing factors of omission change between pre-and post-operation. Methods A total of 48 patients, including 18 males and 30 females, mean age (13.3±5.8) years, with non-syndromic cleft lips and palates were selected from January 2011 to December 2011. Their speech data and articulation between pre-and post-operation were retrospectively analyzed using non-parametric tests. Correlation study was performed to analyze the influencing factors of the changes in articulation. P<0.05 was considered statistically significant. Results The difference in articulation after velopharyngeal closure occurred was significant (Z=–3.796, P=0.000). A negative correlation between the ratio of post-operative normal articulation and surgical age (R=–0.487, P=0.000) was observed. The change in omission was positively correlated with surgical age (R=0.589, P=0.000) and gender (R=0.404, P=0.047). By comparison, the change in omission was negatively correlated with follow-up time (R=–0.235, P=0.040). Conclusion Articulation and intelligibility are significantly improved after velopharyngeal closure is performed. These parameters are negatively correlated with surgical age to some extent. In addition, the change in omission is positively correlated with surgical age and gender, whereas the change in omission is negatively correlated with follow-up time.

Key words: articulation, velopharyngeal closure, consonant omission, correlative factor