咂舌法在维吾尔族异常舌尖前音、舌面音治疗中的疗效分析
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摘要
目的:探讨咂舌法在维吾尔族异常舌尖前音、舌面音治疗中的应用效果。方法:采用随机对照研究的方法将维吾尔族异常舌尖前音、舌面音患者46例(4～14岁,平均6.4岁)患者随机分为2组(n=23),对照组采用常规语音治疗方法,实验组在常规语音治疗的基础上配合咂舌法训练。语音治疗前后均在语音治疗师的带读下,进行语音清晰度和舌尖前音、舌面音清晰度检测,比较2组患儿语音治疗前和治疗4周后的清晰度结果。结果:对照组和试验组训练前语音清晰度分别为37.5%和39.8%(P>0.001),语音训练后分别为82.6%和94.2%(P=0.000),舌尖前音和舌面音清晰度治疗前分别为14.9%和11.8%(P>0.001),语音训练后分别为85.2%和95.3%(P=0.000),治疗后2组患者的语音清晰度及舌尖前音和舌面音清晰度均明显提高(P=0.000),且试验组明显高于对照组(P=0.000)。结论:在语音治疗中加入咂舌法,可以提高维吾尔族患者语音特别是舌尖前音的舌面音的清晰度。
Objective: To study the effects of smacking tongue method in the treatment of abnormal blade-alveolar vowel(BAV) and alveo-palatal sound(APS) of Uygur subjects. Methods: 46 cases of Uyghur patients(aged 4-14 years, averaged 6.4 years) with abnormal BAV and APS were randomly allocated into 2 groups(n=23) base on the random control study design. The subjects in control group were given routine speech training, in experimental group were given routine speech training with smacking tongue methods. 4 week after treatment the speech perceptibility of all the subjects was examined. Results: Before treatment the speech perceptibility in control and experimental group was 37.5% and 39.8%(P>0.001), the perceptibility of BAV and APS was 14.9% and 11.8%(P>0.001), respectively. After treatment, the speech perceptibility of control and experimental group was 82.6% and 94.2%(P=0.000), the perceptibility of BAV and APS was 85.2% and 95.3%(P=0.000), respectively. In both groups the perceptibility of speech, BAV and APS were significantly improved(P=0.000), those of experimental group were superior to control group(P=0.000). Conclusion: Smacking tongue method is effective in the improvement of speech perceptibility of Uyghur subjects, especialy for BAV and APS.
Objective: To study the effects of smacking tongue method in the treatment of abnormal blade-alveolar vowel(BAV) and alveo-palatal sound(APS) of Uygur subjects. Methods: 46 cases of Uyghur patients(aged 4-14 years, averaged 6.4 years) with abnormal BAV and APS were randomly allocated into 2 groups(n=23) base on the random control study design. The subjects in control group were given routine speech training, in experimental group were given routine speech training with smacking tongue methods. 4 week after treatment the speech perceptibility of all the subjects was examined. Results: Before treatment the speech perceptibility in control and experimental group was 37.5% and 39.8%(P>0.001), the perceptibility of BAV and APS was 14.9% and 11.8%(P>0.001), respectively. After treatment, the speech perceptibility of control and experimental group was 82.6% and 94.2%(P=0.000), the perceptibility of BAV and APS was 85.2% and 95.3%(P=0.000), respectively. In both groups the perceptibility of speech, BAV and APS were significantly improved(P=0.000), those of experimental group were superior to control group(P=0.000). Conclusion: Smacking tongue method is effective in the improvement of speech perceptibility of Uyghur subjects, especialy for BAV and APS.
引文
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[15] 吴宗济,林茂灿.实验语音学概要[M].北京:高等教育出版社,1989:125-127.
[2] 代礼,缪蕾,周光萱,等.1996～2000年中国围产儿腭裂畸形发生状况分析[J].华西口腔医学杂志,2004,22(1):35-37.
[3] 张蓉,薛振恂.维吾尔族先天性唇腭裂婴儿的病因病例对照研究[J].中国美容医学,2003,12(2):176-179.
[4] 李扬,尹恒.腭裂语音治疗与评估[M].北京:人民军医出版社,2015:46-55.
[5] 马德元,塔西普拉提,吾买尔.大众维语[M].新疆大学出版社,1997:18-30.
[6] 王光和.唇腭裂的序列治疗[M].北京:人民卫生出版社,1995:318-320.
[7] 阿迪力江.赛买提,王玲,阿迪力·莫明.维吾尔族腭咽闭合功能不全患者语音清晰度及其辅音/r/声学特征的初步研究[J].实用口腔医学杂志,2015,31(1):41-43.
[8] 居来提.吐尔逊,阿迪力江·赛买提,阿迪力.莫明.维吾尔语腭裂术后语音清晰度词表的初步构建[J].口腔医学研究,2016,32(9):933-936.
[9] 王慧,鲍毓,徐琳,等.儿童功能性构音障碍的临床分析及言语治疗[J].中华物理医学与康复杂志,2011,33(11):835-838.
[10] 刘晓.儿童功能性构音障碍错误辅音临床特征分析[J].重庆医学,2012,41(3):254-255,259.
[11] Kent RD,Weismer G,Kent JF,et al.Acoustic studies of dysarthric speech:Methods,progress,and potential[J].J Commun Disord,1999,32(3):141-180,183-186.
[12] 王国民,袁文化,蒋丽萍,等.腭裂术后语音障碍和音声特征的研究[J].中华口腔医学杂志,1995,30(6):334-338.
[13] 金星明.语音和语言障碍临床解析[J].中国实用儿科杂志,2014,29(7):496-501.
[14] 蒋丽萍,王国民,杨育生,等.齿间音θ在异常语音治疗中的作用[J].上海口腔医学,2010,19(6):565-567.
[15] 吴宗济,林茂灿.实验语音学概要[M].北京:高等教育出版社,1989:125-127.