行为疗法在语音治疗中的应用研究

目的 为提高语音障碍的治疗效果。应用行为疗法治疗腭咽闭合功能不全型（VPI）患者，方法 20例VPI患者，其中先天性腭咽闭合功能不全5例，咽成形术术后10例，腭成形术术后5例，男性10例，女性10例，年龄4.0-38.4岁，平均年龄17.8。采用行为疗法进行语音治疗，并在治疗前后定量检测汉语语音清晰度和吹气实验。结果 治疗效果满意，治疗后的汉语语音清晰度和吹气实验较治疗前有显著提高。结论 行为疗法是一种行之有效的语音治疗方法，但要注意严格掌握适应证和个体化应用。

Clinical Practice of Behavior Therapy in Speech Treatment

Objective To apply behavior therapy to treat patients with velopharyngeal insufficiency(VPI), with the aim of improving speech treatment. Methods 20 patients(10 male, 10 female, ranged from 4.0 to 38.4 years, mean age 17.8 years) with VPI were available for this study. Of 20 patients, 5 with congenital velopharyngeal insufficiency, 10 with posterior pharyngeal flap, 5 with palatoplasty. Behavior therapy was adopted in speech treatment. The quantitative measurement of Chinese speech intelligibility and blowing test was carried out before speech therapy and after speech therapy.Results The effect of behavior therapy in speech treatment was satisfied. Their Chinese speech intelligibility and blowing test after speech therapy were obviously better than before.Conclusion The behavior therapy is a very effective method in speech treatment, but it was important to select indications and treat individually.