《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (11): 1311-1314.

• 国际会议报道 • 上一篇    下一篇

舌边音构音障碍的临床特点及康复训练

宋志明
  

  1. 作者单位:郑州大学第一附属医院康复医学科,河南郑州市 450052。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-11-25 发布日期:2015-11-25

Clinical Characteristics and Rehabilitation Training of Lateral Consonant Articulation Disorders

SONG Zhi-ming
  

  1. Department of Rehabilitation Medicine, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan 450052, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-11-25 Online:2015-11-25

摘要: 目的 探讨功能性构音障碍(FAD)患者舌边音/l/构音障碍的临床特点和康复训练方法。方法 分析 107例 FAD患者舌边音构音障碍特点;对其中30例舌边音构音障碍患者进行康复训练;对舌边音构音障碍和年龄的关系进行关联性分析和简单线性回归分析。结果 /l/的构音错误形式主要是置换成/n/、/y/、/r/、/d/或脱落;当/l/与含有前元音/i/、/ü/的韵母相拼时,构音错误以脱落为主;当/l/与含有/a/、/o/、/e/、/u/的韵母相拼时,置换稍多于脱落。语音训练后,患者舌边音构音错误数显著减少(P<0.001)。FAD患者舌边音错误数与年龄呈负相关(r=-0.840),年龄对舌边音构音错误的决定系数为 0.422。结论 舌边音构音错误形式主要为置换或脱落,舌边音与不同韵母相拼时出现的错误不同;有针对性的康复训练疗效确切;年龄是影响舌边音构音障碍预后的重要因素。

关键词: 功能性构音障碍, 舌边音, 临床特点, 康复训练

Abstract: Objective To explore the clinical characteristics and rehabilitation training of abnormal lateral consonant, namely /l/, of patients with functional articulation disorders (FAD). Methods 107 patients with FAD were observed of the clinical characteristics of /l/. 30 patients with /l/ articulation disorder accepted speech training. The correlation and simple linear regression analysis were carried out on /l/ articulation disorders and age. Results The articulation disorder of /l/ mainly showed replacement for /n/, /y/, /r/, /d/ or omission. When /l/ combined with vowels contained /i/ and /ü/, the main error was omission. When /l/ combined with vowels contained /a/, /o/, /e/ or /u/, the errors trended to be replacement rather than omission. After speech training, the patients made less mistakes about /l/ (P<0.001). The frequency of /l/ articulation disorders was negatively correlated with age (r=-0.840). The result of simple linear regression analysis showed that the determination coefficient was 0.422. Conclusion The /l/ articulation disorder mainly shows replacement or omission, varied with the vowels. The targeted rehabilitation training may be helpful. Age plays an important role in the outcome of /l/ articulation disorder.

Key words: functional articulation disorders, lateral consonant, clinical characteristics, rehabilitation training