脑卒中构音障碍患者元音产出特征与言语清晰度的相关性

doi:10.3969/j.issn.1006-9771.2020.00.023

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (1): 43-47.doi: 10.3969/j.issn.1006-9771.2020.00.023

脑卒中构音障碍患者元音产出特征与言语清晰度的相关性

葛胜男^1,2, 王勇丽^1,2, 尹敏敏³, 万勤^1,2, 钱红⁴, 黄昭鸣^1,2

1.华东师范大学中国言语听觉康复科学与ICF应用研究院，上海市 200333
2.华东师范大学教育学部康复科学系，上海市 200333
3.杭州师范大学教育学院特殊教育系，浙江杭州市 311121
4.上海市第五康复医院康复医学科，上海市 201600

收稿日期:2020-07-21 修回日期:2020-08-26 出版日期:2021-01-25 发布日期:2021-01-27
通讯作者: 王勇丽，E-mail： wylkangfu@126.com
作者简介:葛胜男(1996-)，女，汉族，江苏南通市人，硕士研究生，主要研究方向：言语语言康复；王勇丽(1985-)，女，汉族，河南漯河市人，博士，讲师，主要研究方向：言语听觉科学。
基金资助:
国家社会科学基金青年项目(No. 19CYY019)

Relationship between Vowel Production and Speech Clarity in Post-stroke Dysarthria Patients

GE Sheng-nan^1,2, WANG Yong-li^1,2, YIN Min-min³, WAN Qin^1,2, QIAN Hong⁴, HUANG Zhao-ming^1,2

1. Chinese Academy of Speech and Hearing Rehabilitation Science and ICF Application, East China Normal University, Shanghai 200333, China
2. Department of Rehabilitation Science, East China Normal University, Shanghai 200333, China
3. Department of Special Education, Hangzhou Normal University, Hangzhou, Zhejiang 311121, China
4. Department of Rehabilitation Medicine, Shanghai Fifth Rehabilitation Hospital, Shanghai 201600, China

Received:2020-07-21 Revised:2020-08-26 Published:2021-01-25 Online:2021-01-27
Contact: WANG Yong-li, E-mail: wylkangfu@126.com
Supported by:
National Social Science Foundation (Youth) (No. 19CYY019)

摘要/Abstract

摘要： 目的探讨脑卒中后构音障碍患者的元音产出特征改变及其与言语清晰度之间的关系。方法 2019年10月至2020年1月，选择脑卒中后构音障碍患者19例(脑卒中组)和健康成人18例(对照组)，朗读一段语音均衡材料，分析元音产出声学特征，包括下颌距、舌距、F2i/F2u、元音空间面积(VSA)、元音清晰度指数(VAI)、F1变异性、F2变异性；两名言语治疗师对言语清晰度进行主观评判。将元音产出特征与言语清晰度进行相关性分析。结果脑卒中组舌距、F2i/F2u、VSA、VAI和言语清晰度小于对照组(|t| > 2.268, P < 0.05)；F2变异性大于对照组(t = 2.375, P < 0.05)。脑卒中组的F2i/F2u (r = 0.465)、VAI (r = 0.488)、F2变异性(r = -0.504)均与言语清晰度相关(P < 0.05)。结论脑卒中后构音障碍患者元音产出存在缺陷，表现为构音运动异常、各元音呈集中趋势、元音稳定性较差，脑卒中患者元音产出特征与其言语清晰度相关。

关键词: 脑卒中, 构音障碍, 元音产出, 声学分析, 言语清晰度

Abstract: Objective To explore the characteristics of vowel production of dysarthria after stroke, and the relationship between vowel production and speech clarity. Methods From October, 2019 to January, 2020, 19 patients with post-stroke dysarthria and 18 healthy controls were asked to read a short essay to extract vowels, and measured the jaw distance, tongue distance, F2i/F2u, vowel space area (VSA), vowel articulation index (VAI), F1 and F2 variability, and speech clarity. The correlation between vowel production and speech clarity were analyzed. Results Tongue distance, F2i/F2u, VSA, VAI, and speech clarity were less in the patients than in the controls (|t| > 2.268, P < 0.05), while F2 variability was more (t = 2.375, P < 0.05). F2i/F2u (r = 0.465), VAI (r = 0.488) and F2 variability (r = -0.504) were correlated to speech clarity (P < 0.05). Conclusion The vowel production impaired in patients with post-stroke dysarthria, featured as abnormal articulatory movements, concentration of vowels and poor stability of vowels, which impacts the speech clarity.

Key words: stroke, dysarthria, vowel production, acoustic analysis, speech clarity

中图分类号:

R743.3

葛胜男, 王勇丽, 尹敏敏, 万勤, 钱红, 黄昭鸣. 脑卒中构音障碍患者元音产出特征与言语清晰度的相关性[J]. 《中国康复理论与实践》, 2021, 27(1): 43-47.

GE Sheng-nan, WANG Yong-li, YIN Min-min, WAN Qin, QIAN Hong, HUANG Zhao-ming. Relationship between Vowel Production and Speech Clarity in Post-stroke Dysarthria Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(1): 43-47.

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脑卒中构音障碍患者元音产出特征与言语清晰度的相关性

Relationship between Vowel Production and Speech Clarity in Post-stroke Dysarthria Patients

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