中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2017, Vol. 15 ›› Issue (4): 354-356.

• 论著 • 上一篇    下一篇

不同年龄组咽成形术后异常语音治疗的效果

蒋莉萍, 王国民, 杨育生, 刘琼   

  1. 上海交通大学医学院附属第九人民医院·；口腔医学院 口腔颅颌面科, 上海市口腔医学重点实验室,上海 200011
  • 出版日期:2017-08-10 发布日期:2017-08-14
  • 通讯作者: 蒋莉萍,E-mail:JLPing@126.com
  • 作者简介:蒋莉萍（1964-）,女,学士,语音治疗师

Evaluation of abnormal speech therapy after surgical repair of velopharyngeal insufficiency in patients with different ages

JIANG Li-ping, WANG Guo-min, YANG Yu-sheng, LIU Qiong   

  1. Department of Oral and Craniomaxillofacial Science, College of Stomatology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine； Shanghai Key Laboratory of Stomatology. Shanghai 200011, China
  • Online:2017-08-10 Published:2017-08-14

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摘要： 目的通过对不同年龄组咽成形术后异常语音治疗效果的分析,为病理语音治疗年龄选择提供参考。方法选取271例咽成形术后进行异常语音治疗的患者（4~25岁）,按年龄分为4组: 幼儿（4~6岁）、儿童（7~12岁）、少年（13~17岁）和青年（18~25岁）。所有患者均按腭咽闭合功能、音素、音节、短句进行系统性语音训练。用清晰度测试表对治疗前后语音清晰度和过度鼻音进行检测,采用SPSS 16.0软件包对各年龄组治疗前、后的上述2个指标进行统计学分析。结果271例患者中,幼儿组62例、儿童组59例、少年组43例、青年组107例。各组治疗前、后语音清晰度分别为幼儿组（35.91%、98.22%）、儿童组（38.11%、98.63%）、少年组（45.59%、98.51%）和青年组（39.78%、98.21%）;每组治疗前、后语音清晰度均有显著差异,各组治疗后语音清晰度均无显著差异。各组治疗前、后过度鼻音改善,改善率分别为幼儿组70.97%,儿童组62.71%,少年组44.19%和青年组43.93%;各组治疗后过度鼻音改善均存在显著差异。结论咽成形术后异常语音治疗后语音清晰度与年龄大小无关;而过度鼻音改善程度与年龄大小有关,年龄越小,改善程度越高。

关键词: 腭咽闭合不全, 语音清晰度, 过度鼻音

Abstract: PURPOSE: To compare and analyze the effect of abnormal speech therapy in different age groups, in order to select appropriate time for speech therapy after surgical repair of velopharyngeal insufficiency (VPI). METHODS: A total of 271 patients (4-25 years old) treated with speech therapy were divided into 4 groups based on age: infant (4-6 years old), enfant (7-12 years old), juvenile (13-17 years old) and youth group (18-25 years old). All patients were trained by speech therapy after pharyngoplasty. Before and after treatment, the clarity of speech and excessive nasal tone were detected with speech test table, and 2 indexes were analyzed with SPSS 16.0 software package. RESULTS: There were 62 infants, 59 enfants, 43 juveniles, and 107 youths. Speech clarity was 35.91%-98.22% in infant group, 38.11%-98.63% in enfant group, 45.59%-98.51% in juvenile group and 39.78%-98.21% in youth group. There was significant difference before therapy in each group, but no significant difference was found after therapy between each group. For excessive nasal tone, improvement of nasal tone was 70.97% in infant group, 62.71% in enfant group, 44.19% in juvenile group, and 43.93% in youth group. There was significant difference for nasal tone after treatment between each group. CONCLUSIONS: There was no relationship between speech clarity and age for speech therapy, but excessive nasal tone is closely related to the age. Therefore, the younger were treated with speech therapy the better RESULTS were obtained.

Key words: Velopharyngeal insufficiency, Speech clarity, Excessive nasal tone

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