脑卒中后构音障碍患者构音器官运动功能与言语清晰度的相关性

doi:10.3969/j.issn.1006-9771.2024.07.010

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (7): 818-822.doi: 10.3969/j.issn.1006-9771.2024.07.010

脑卒中后构音障碍患者构音器官运动功能与言语清晰度的相关性

罗薇¹^,², 何怡¹^,², 张庆苏¹^,²()

1.中国康复研究中心北京博爱医院听力语言科，北京市 100068
2.首都医科大学康复医学院，北京市 100068

收稿日期:2024-01-22 修回日期:2024-05-17 出版日期:2024-07-25 发布日期:2024-08-07
通讯作者: 何怡(1977-)，女，汉族，北京市人，主管治疗师，主要研究方向：言语听力康复。张庆苏，E-mail： qingsuzhang@hotmail.com
作者简介:罗薇(1982-)，女，满族，河北承德市人，硕士，主治医师，主要研究方向：言语、语言障碍及吞咽障碍康复。
基金资助:
国家重点研发项目(2020YFC2004105);中国康复研究中心基金项目(2023ZX-17)

Relationship between motor function of articulation organs and speech intelligibility in poststroke dysarthria

LUO Wei¹^,², HE Yi¹^,², ZHANG Qingsu¹^,²()

1. Department of Speech and Hearing Therapy, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China

Received:2024-01-22 Revised:2024-05-17 Published:2024-07-25 Online:2024-08-07
Contact: ZHANG Qingsu, E-mail: qingsuzhang@hotmail.com
Supported by:
National Key Research and Development Program of China(2020YFC2004105);China Rehabilitation Research Center Project(2023ZX-17)

摘要/Abstract

摘要：

目的探讨脑卒中后构音障碍患者构音器官运动功能与言语清晰度(SI)之间的关系。
方法选择2020年11月至2023年10月北京博爱医院收治的住院脑卒中后构音障碍患者67例，采用SI测试和Frenchay构音障碍评价(FDA)进行评定，SI ≤ 65%为低SI组，SI > 65%为高SI组。
结果除颌位置外，高SI组FDA各项评分均低于低SI组(Z > 1.543, P < 0.05)。FDA各项评分均与SI呈负相关(r < -0.343, P < 0.001)，其中与唇运动、舌运动和喉控制3项评分的相关性最大(r < -0.6)。
结论脑卒中后构音障碍患者构音器官运动功能与SI相关，特别是唇、舌、喉的功能。

关键词: 脑卒中, 构音障碍, 构音器官, 运动功能, 言语清晰度

Abstract:

Objective To investigate the relationship between motor function of articulation organs and speech intelligibility (SI) in patients with dysarthria after stroke.
Methods A total of 67 patients with dysarthria after stroke in Beijing Bo'ai Hospital from November, 2020 to October, 2023 were collected. They were assessed with SI test and Frenchay Dysarthria Assessment (FDA). The patients were divided into low SI group (SI ≤ 65%) and high SI group (SI > 65%).
Results All the sub-scores of FDA were lower in the high SI group than in the low SI group (Z > 1.543, P < 0.05), except that of the jaw; and the SI was negatively pairwise correlated with FDA sub-scores (r < -0.343, P < 0.001), especially with the lip, tongue and laryngeal (r < -0.6).
Conclusion The motor function of articulation organs may be related to SI in patients with dysarthria after stroke, especially the lip, tongue and laryngeal.

Key words: stroke, dysarthria, articulation organs, motor function, speech intelligibility

中图分类号:

R743.3

罗薇, 何怡, 张庆苏. 脑卒中后构音障碍患者构音器官运动功能与言语清晰度的相关性[J]. 《中国康复理论与实践》, 2024, 30(7): 818-822.

LUO Wei, HE Yi, ZHANG Qingsu. Relationship between motor function of articulation organs and speech intelligibility in poststroke dysarthria[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 818-822.

图/表 4

表1

表2

表3

表4

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(梗死/出血)/n
高SI组	34	26/8	54(45.75, 69.25)	46.5(27, 65.75)	11/23
低SI组	33	28/5	61(55, 66)	60(37, 96)	8/25
χ²/Z值		0.752	1.306	1.020	0.542
P值		0.386	0.066	0.248	0.462

变量	组别	n	最小值	最大值	均值	标准差	偏度	峰度
反射	低SI组	33	3	10	7.12	1.88	-0.604	-0.083
反射	高SI组	34	3	13	5.26	2.42	1.629	3.205
呼吸	低SI组	33	2	8	4.97	1.47	0.055	-0.404
呼吸	高SI组	34	2	8	3.44	1.56	1.285	1.266
唇运动	低SI组	33	6	19	13.40	3.06	-0.315	0.003
唇运动	高SI组	34	5	16	8.97	2.99	0.645	-0.549
颌位置	低SI组	33	2	8	3.40	1.68	1.065	0.257
颌位置	高SI组	34	2	6	2.59	1.16	2.013	3.177
软腭运动	低SI组	33	3	11	6.27	2.11	0.530	-0.016
软腭运动	高SI组	34	3	9	4.62	1.67	0.860	-0.031
喉控制	低SI组	33	7	20	13.36	2.97	0.172	-0.425
喉控制	高SI组	34	4	16	9.38	3.30	0.054	-0.701
舌运动	低SI组	33	10	23	16.58	3.40	-0.099	-0.03
舌运动	高SI组	34	6	22	11.91	4.20	0.495	-0.111
言语	低SI组	33	5	20	13.82	3.71	-0.265	-0.592
言语	高SI组	34	4	14	7.62	2.77	0.622	-0.161
a级项目数	低SI组	33	0	15	4.94	3.00	1.031	2.563
a级项目数	高SI组	34	1	28	12.44	7.75	0.271	-0.921

组别	n	反射	呼吸	唇运动	颌位置	软腭运动	喉控制	舌运动	言语	a级项目数
高SI组	34	5(3, 6)	3(2, 4)	8.5(6, 11)	2(2, 3)	4(3, 6)	9.5(6.75, 12)	12(8, 14.25)	7.5(5.75, 9.25)	12.5(5, 17.5)
低SI组	33	7(6, 8)	5(4, 6)	14(11.5, 15)	3(2, 4)	6(5, 7.5)	13(11, 15.5)	17(15, 18.5)	14(10.5, 16.5)	5(3, 7)
Z值		2.130	1.904	2.258	1.149	1.543	1.798	2.261	2.757	2.393
P值		< 0.001	0.001	< 0.001	0.143	0.017	0.003	< 0.001	< 0.001	< 0.001

脑卒中后构音障碍患者构音器官运动功能与言语清晰度的相关性

Relationship between motor function of articulation organs and speech intelligibility in poststroke dysarthria

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FDA领域	r值	P值
反射	-0.464	< 0.001
呼吸	-0.526	< 0.001
唇运动	-0.649	< 0.001
颌位置	-0.343	< 0.001
软腭运动	-0.566	< 0.001
喉控制	-0.668	< 0.001
舌运动	-0.664	< 0.001
言语	-0.829	< 0.001

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