功能性构音障碍与舌系带短的相关性研究

目的探究舌系带短与功能性构音障碍的关系,为临床诊疗提供参考。方法选择于2016年10月-2019年2月在四川大学华西口腔医院语音矫正专科就诊的功能性构音障碍患者259例进行语音评估;在自然光线下检查舌系带,根据舌系带附丽距舌尖长短及伸舌、卷舌时舌体位置、舌尖的形状分为正常、Ⅰ类,Ⅱ类,Ⅲ类4种类型;分析语音错误类型与舌系带分类的相关性。结果在纳入的259人中,舌系带短的有39人,正常为220人。舌系带正常患者语音评估类型结果为:无送气音75例、后置构音36例、前置构音67例、腭化构音19例、辅音省略23例;舌系带短患者语音评估类型结果为:无送气音12例、后置构音5例、前置构音13例、腭化构音4例、辅音省略5例,功能性构音障碍类型与舌系带短之间无相关性(P=0.939)。结论功能性构音障碍与舌系带短无相关性,不建议单纯因构音障碍问题而进行舌系带矫治术,应通过语音功能训练方式进行治疗。

Study on the correlation between functional articulation disorders and the short lingual frenulum

Objective To explore the relationship between a short lingual frenulum and functional articulation disorders and to offer a reference for clinical diagnosis and treatment. Methods A total of 259 patients with functional articulation disorders who visited the West China Hospital of Stomatology from October 2016 to February 2019 were included. The lingual ligaments of patients were clinically examined under natural light and classified into 4 groups according to the distance between the ligament and tongue tip, the functional position of the tongue, and the shape of the tongue tip. Statistical analyses of speech error types and the correlation between functional articulation disorders and the lingual ligament were performed. Results Among all 259 patients, 220 patients had a normal lingual ligament,while only 39 patients had a short lingual ligament. The speech evaluation results of patients with a normal lingual ligament were as follows: no gas delivery 75, postconstructive tone 36, preconstructed tones 67, palatalized misarticulation19, and consonant deletion 23. The speech evaluation results with a short lingual ligament were as follows: no gas delivery 12, postconstructive tone 5, preconstructed tones 13, palatalized misarticulation 4, and consonant deletion 5. No correlation was observed between functional articulation disorders and the lingual ligament(P=0.939). Conclusion No correlation was found between functional articulation disorders and the lingual ligament. Patients with functional articulation disorders should not be encouraged to undergo ankylotomy;however, speech training should be encouraged instead.