顶舌法联合刮舌法对舌系带过短患儿术后舌尖音训练效果的分析

目的：探讨顶舌法联合刮舌法对舌系带过短患儿术后舌尖音训练效果的影响。方法采用随机对照研究设计，将50例舌系带过短术后仅有舌尖音发音障碍的患儿（4～8岁）随机分为实验组25例，对照组25例。实验组在常规语音训练的基础上配合顶舌刮舌法训练，对照组采用常规语音训练，分别测试两组患儿在语音治疗前和治疗3个疗程后的语音清晰度，比较两组结果。结果实验组及对照组患儿治疗前的语音清晰度分别约为37．91％、37．69％，治疗后分别为87．69％、72．99％，两组患儿治疗前语音清晰度差异无统计学意义（t＝0．726，P ＞0．05），治疗后两组患儿语音清晰度均较治疗前明显提高，差异有统计学意义（P ＜0．001），且实验组患儿语音清晰度显著高于对照组。结论顶舌法联合刮舌法可以促进舌系带过短患儿术后仅有舌尖音发音障碍患儿语音清晰度的提高。

Clinical Analysis of the Combination of Topping Tongue Method and Scraping Tongue Method in Speech Training after Operation of Ankyloglossia with Lingua-Apical Articulation Disorder

Objective To study the clinical effects of the combination of the topping tongue method and the scraping tongue method in speech training after the operation of ankyloglossia with lingua apical articulation disor-der.Methods Based on the random control study design,50 cases of ankyloglossia with lingua apical articulation disorders were randomly allocated into experimental group (25 cases)and control group (25cases).Patients of ex-perimental group were given routine speech training with the topping tongue and scraping tongue methods.Patients of control group were given routine speech training,and data of voice intelligibility of two groups of patients were collected at the time before speech training and after 3 courses of speech training.Results The voice intelligibility of two groups of patients before speech training had no statistically significant differences(t =0.726,P >0.05 ).But the voice intelligibility of the patients after 3 courses of speech training in both groups was obviously improved. There were statistically significant differences(P <0.001).Patients in the experimental group had a higher voice in-telligibility score assessed after 3 courses of speech training than the control group.After treatment,the voice intel-ligibility of the patients in experimental group increased from 37.91% to 87.69%.The voice intelligibility of the pa-tients in the control group increased from 37.69% to 72.99%.There were statistically significant differences(P <0.001).Conclusion The combination of the topping tongue and scraping tongue methods can improve the speech intelligi-bility for patients after operation of ankyloglossia and promote rehabilitation training of the lingua- apical articulation.