华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (2): 146-149.doi: 10.7518/hxkq.2018.02.006

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腭裂术后腭咽闭合完全患者的语音治疗效果及影响因素分析

郭春丽(), 尹恒(), 李精韬, 李承浩, 李扬, 石冰, 郑谦   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床研究中心 四川大学华西口腔医院唇腭裂外科,成都 610041
  • 收稿日期:2017-11-28 修回日期:2018-01-30 出版日期:2018-04-10 发布日期:2018-04-10
  • 作者简介:

    郭春丽,语音师,学士,E-mail:vivian_guo1225@sina.com

  • 基金资助:
    国家自然科学基金青年基金(61503264)

Outcome and influential factors of speech therapy delivered to cleft patients with post-operative velopharyngeal com-petence

Chunli Guo(), Heng Yin(), Jingtao Li, Chenghao Li, Yang Li, Bing Shi, Qian. Zheng   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2017-11-28 Revised:2018-01-30 Online:2018-04-10 Published:2018-04-10
  • Supported by:
    Supported by: The National Science Foundation for Young Scientists of China (61503264). Correspondence: Yin Heng, E-mail: Phoebeyin@126.com.

摘要:

目的 对术后腭咽闭合完全、经过语音治疗获得正常语音的腭裂患者进行语音治疗方法、治疗时间及相关因素分析。方法 对2012—2013年在四川大学华西口腔医院唇腭裂外科采用音韵治疗改变构音位置的方法进行规范的语音治疗后获得正常语音的32例腭裂患者进行回顾分析。分析辅音错误构音的类型、语音治疗总次数、语音治疗前辅音错误个数、语音治疗距离手术的时间、语音治疗时的年龄等。采用SPSS 16.0对治疗次数与语音治疗距离手术的时间、辅音错误个数及类型以及训练时的年龄进行相关因素分析。结果 32例患者中,治疗次数≤5次者10例;6~10次者17例;11~20次者5例。治疗次数与错误音节数呈正相关(rs=0.394,P=0.026),错误音节数每增加1个,治疗次数平均增加0.570次,可信区间为0.137~1.004。治疗次数与年龄呈负相关趋势(P=0.055),5~10岁的患者比大于10岁的患者治疗次数更少,需要的时间更短。治疗次数与治疗距离手术的时间无相关性(rs=-0.136,P=0.459)。结论 术后腭咽闭合完全的腭裂患者经过规范的语音治疗,语音都能康复至正常水平或接近正常,但所需治疗时间有差异。错误音节数越多的患儿,治疗次数越多;10岁以上的患者比10岁以下患者所需的治疗时间更长。

关键词: 腭咽闭合完全, 音韵治疗法, 代偿构音, 语音治疗周期

Abstract:

Objective To analyze the training technique, intervention timing, and other related factors involved in the speech therapy delivered to cleft patients with velopharyngeal competence after surgery. Methods A retrospective study was conducted on 32 patients who received phonology-articulation speech therapies during 2012 to 2013 in Dept. of Cleft Lip and Palate, West China Hospital of Stomatology, Sichuan University. All patients achieved normal speech one year after therapy. Information collected included the types and number of consonant articulation error, the overall period of training, the interval between surgery and speech training, and the age during speech training. Statistical analyses were performed in SPSS 16.0. Results Ten patients received less than five sessions of training, seventeen received six to ten sessions, and five received eleven to twenty sessions. The number of sessions was positively correlated with the number of errors (rs=0.394, P=0.026). On the average, each additional error cost another 0.570 session for correction (confidence interval: 0.137-1.004). Moreover, the number of sessions was negatively correlated with age (P=0.055). Patients between 5 to 10 years old took significantly lesser sessions than those above 10 years. No correlation was found between the number of sessions and the interval between surgeries and trainings. Conclusion Appropriate speech therapy efficiently rehabilitate the speech condition of cleft patients with velopharyngeal sufficiency after surgery. The number of errors is directly proportional to the number of sessions needed. Patients above 10 years require more sessions than those less than 10 years.

Key words: velopharyngeal competence, phonology-articulation speech therapies, compensatory compose sound, speech treatment cycle

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