华西口腔医学杂志 ›› 2016, Vol. 34 ›› Issue (6): 594-599.doi: 10.7518/hxkq.2016.06.009

• 临床研究 • 上一篇    下一篇

功能性构音障碍患儿舌根音异常的语音特点和康复训练

徐丽娜,李峰,张艳云,高楠,胡明芳   

  1. 郑州大学第一附属医院语音治疗科,郑州 450052
  • 收稿日期:2016-02-25 修回日期:2016-09-10 出版日期:2016-12-01 发布日期:2016-12-01
  • 通讯作者: 李峰,主任护师,学士,E-mail:nihongfeiwu939@163.com
  • 作者简介:徐丽娜,护师,硕士,E-mail:1103375181@qq.com
  • 基金资助:
    河南省卫计委科技基金(201003030);河南省教育厅科技基金(2009A320023)

Phonological characteristics and rehabilitation training of abnormal velar in children with functional articulationdisorders

Xu Lina, Li Feng, Zhang Yanyun, Gao Nan, Hu Mingfang   

  1. Dept. of Speech Therapy, The First Affiliated Hospital,Zhengzhou University, Zhengzhou 450052, China)Supported by: Science and Technology Fund of Health and Family Planning Commission of Henan Province (201003030);Science and Technology Fund of The Education Department of Henan Province (2009A320023). Correspondence: Li Feng,E-mail: nihongfeiwu939@163.com.
  • Received:2016-02-25 Revised:2016-09-10 Online:2016-12-01 Published:2016-12-01

摘要: 目的 探讨功能性构音障碍(FAD)患者舌根音异常的语音特点和康复训练方法。方法 分析87例FAD患者舌根音异常的语音特点,对其中72例舌根音异常的患者进行针对性康复训练,对舌根音构音异常和年龄的关系进行关联性分析和简单线性回归分析。结果 /g/的构音错误主要是置换成/d/、/b/或脱落;/k/音主要置换为/d/、/t/、/g/、/p/、/b/;/h/音主要置换成/g/、/f/、/p/、/b/或脱落。/g/、/k/、/h/均涉及的错误方式为舌前音化及双唇音化。舌根音与/a/、/e/为韵头的韵母相拼时,构音错误以舌前音化为主;而与/u/为介母的韵母相拼时,主要表现为双唇音化。经过3~10次语音训练,发音错误字数由训练前的(40.28±6.08)减少到训练后的(6.24±2.61),差异有统计学意义(Z=-7.379, P=0.000)。FAD患者舌根音错误字数与年龄呈负相关(r=-0.691,P=0.000),年龄对舌根音构音错误的决定系数为0.472。结论 舌根音构音错误类型主要为置换,舌根音与不同韵母相拼时,错误方式不同;针对性康复训练的疗效确切;年龄是影响舌根音构音障碍预后的重要因素。

关键词: 功能性构音障碍, 舌根音, 语音特点, 康复训练

Abstract: Objective To explore the phonological characteristics and rehabilitation training of abnormal velar in patientswith functional articulation disorders (FAD). Methods Eighty-seven patients with FAD were observed of the phonologicalcharacteristics of velar. Seventy-two patients with abnormal velar accepted speech training. The correlation and simple linearregression analysis were carried out on abnormal velar articulation and age. Results The articulation disorder of /g/ mainlyshowed replacement by /d/, /b/ or omission. /k/ mainly showed replacement by /d/, /t/, /g/, /p/, /b/. /h/ mainly showed replacementby /g/, /f/, /p/, /b/ or omission. The common erroneous articulation forms of /g/, /k/, /h/ were fronting of tongue andreplacement by bilabial consonants. When velar combined with vowels contained /a/ and /e/, the main error was fronting oftongue. When velar combined with vowels contained /u/, the errors trended to be replacement by bilabial consonants. After3 to 10 times of speech training, the number of erroneous words decreased to (6.24±2.61) from (40.28±6.08) before the speechtraining was established, the difference was statistically significant (Z=-7.379, P=0.000). The number of erroneous wordswas negatively correlated with age (r=-0.691, P=0.000). The result of simple linear regression analysis showed that the determinationcoefficient was 0.472. Conclusion The articulation disorder of velar mainly shows replacement, varies with the vowels. The targeted rehabilitation training hereby establishedis significantly effective. Age plays an important rolein the outcome of velar.

Key words: functional articulation disorders, velar, phonological characteristics, rehabilitation training

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