110例腭裂术后患者代偿性构音的特点及治疗策略探讨

目的:旨在初步探讨唇腭裂患者汉语普通话代偿性构音(compensatory articulation,CA)的特点和治疗对策。方法:对110名腭裂术后患者的语音进行回顾性分析,利用主观判听和鼻咽纤维镜检查的方法对患者的腭咽闭合功能进行评估,分析不同腭咽功能CA的发生情况;根据语音主观判听的记录结果,从音韵的角度,对代偿性发音进行研究。结果:腭咽闭合不全者60例中30例(50%)存在CA,腭咽闭合完全者50例中8例(16%)存在CA。从发音方式上来讲,CA好发于送气音/p/、/t/、/k/、/q/、/c/、/ch/;从发音位置上来讲,CA在舌尖音、舌面音、舌根音的发生率较高。结论:CA是音韵错误,在语言治疗和评估时应该加入音韵的分析内容和治疗措施。

Compensatory articulation in patients with repaired cleft palate and the speech therapy approach

Objective: To study the compensatory articulation(CA) in patients with repaired cleft palate.Methods: Velopharyngeal(VP) function was assessed by a experienced speech pathologists and nasoendoscopy in 110 patients with repaired cleft palate.CA in the patients was analysed.Results: Good VP function(including marginal VP) was found in 50 cases(group 1) and poor VP function(velopharyngeal insufficiency) in 60(group 2).CA was observed in 8 cases(16%) in group 1 and 30(50%) in group 2.CA was common in the phonemes of /p/,/t/,/k/,/q/,/c/ and /ch/ that characterized by aspirating articulation,and was common in the fuction of alveolar,alveolopalatal and velar.Conclusion: CA should be the considered in the speech therapy for the patients with repaired cleft palate.