腭裂修复术后语音训练介入时机的研究

目的　探讨腭裂术后患者接受语音训练的最佳时机 ,研究语音训练介入时机对语音功能改善的作用。方法　对 5 6例接受腭裂修补术的患者进行术前、术后 1,2 ,3周、术后 1个月鼻音化率的比较研究 ,并对其中 14例患者在术后 1个月进行早期语音训练 ,通过与未接受语音训练组的对比研究 ,找出语音训练的最佳时机。结果　腭裂术前与术后 1,2 ,3周鼻音化率的均值比较 ,差异无显著性意义 (P >0 .0 5 )。腭裂术前与术后 1个月鼻音化率的均值比较 ,差异有显著性意义 (P <0 .0 5 )。腭裂术后 1个月接受语音训练组与未接受语音训练组比较 ,二者差异有非常显著性意义 (P <0 .0 1)。结论　腭裂术后 1个月内进行语音训练对腭裂语音的改善无明显作用 ;接受腭裂手术 1个月后 ,腭部肌肉运动、腭咽结构及功能渐渐恢复 ,在此期间进行语音训练对改善腭裂术后腭裂语音功能有至关重要的作用。

The study of the best opportunity for speech training in enhancing speech definition for patients following cleft palate repair

Objective To evaluate the effect of early speech training in enhancing speech definition for cleft palate patients following repair surgery and explore the optimal opportunity for speech training. Methods Fifty-six articulation deficient cleft palate patients who had been surgically repaired were examined with speech analysis system pre-and post-operation. Fourteen patients who accept the systematic speech training were compared with 23 patients who did not accept speech training in 30 days after operation. Results It was shown that the speech articulations of the patients without speech training did not improved significantly on average in 3 weeks after operation(P>0.05),but significantly improved after 30 days when compared with the pre-operation(P<0.05). The speech articulations of 14 patients intervened with the systematic speech training were significantly improved(P<0.001) as compared with that of those without speech training. Conclusion Early systematic speech training were of great benefit in improving the speech articulation of cleft palate patients.