《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (07): 601-603.

• 论文 •    下一篇

运动性构音障碍患者腭咽闭合功能的评价及治疗研究进

郭萌，李胜利   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院听力语言科，北京市100068。
  • 收稿日期:2013-03-18 修回日期:2013-05-10 出版日期:2013-07-25 发布日期:2013-07-25
  • 通讯作者: 李胜利

Velopharyngeal Incompetence in Dysarthria: Pathogenesis, Evaluation and Treatment (review)

GUO Meng, LI Sheng-li.   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2013-03-18 Revised:2013-05-10 Published:2013-07-25 Online:2013-07-25

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摘要： 运动性构音障碍患者常可出现腭咽闭合功能不全，其言语特点表现为鼻漏气造成的鼻音化构音，严重降低患者言语清晰度，影响其语言交流能力。目前对腭咽闭合功能的评价多局限在腭裂及其修补术后，缺乏对构音障碍患者的研究。克服鼻音化构音的方法主要有康复生理法和使用辅助具，主要为腭托和鼻阀门等。国内尚未见到使于腭托治疗运动性构音障碍患者鼻音化的应用报道。

关键词: 运动性构音障碍, 腭咽闭合功能不全, 腭托, 鼻阀门, 综述

Abstract: Dysarthric patients often present velopharyngeal incompetence (VPI), characterized nasalization articulation for hypernasality,which seriously impaired their communication. Research of evaluation of VPI is mainly about cleft palate and postoperative, few about the dysarthria. Some approaches, such as physiologic approach to rehabilitation, have been used to correct hypernasality, and prosthesis,such as palatal lift prosthesis (PLP) and nasal speaking valve (NSV), are also proved effectively. PLP has been widely used for hypernasality oversea, but fewer in China.

Key words: dysarthria, velopharyngeal incompetence, palatal lift prosthesis, nasal speaking valve, review