文章摘要
陈卫民,冀予心,朱声荣,陶学金,马净植.腭裂修复术后语音训练介入时机的研究[J].中华物理医学与康复杂志,2004,(4):
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腭裂修复术后语音训练介入时机的研究
  
DOI:
中文关键词: 腭裂  语音训练时机  早期康复
英文关键词: Cleft palate  Speech training  Early rehabilitation
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作者单位
陈卫民,冀予心,朱声荣,陶学金,马净植 430030武汉华中科技大学同济医学院附属同济医院口腔医学中心 
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中文摘要:
      目的探讨腭裂术后患者接受语音训练的最佳时机,研究语音训练介入时机对语音功能改善的作用。 方法对56例接受腭裂修补术的患者进行术前、术后1,2,3周、术后1个月鼻音化率的比较研究,并对其中14例患者在术后1个月进行早期语音训练,通过与未接受语音训练组的对比研究,找出语音训练的最佳时机。 结果腭裂术前与术后1,2,3周鼻音化率的均值比较,差异无显著性意义(P>0.05)。腭裂术前与术后1个月鼻音化率的均值比较,差异有显著性意义(P<0.05)。腭裂术后1个月接受语音训练组与未接受语音训练组比较,二者差异有非常显著性意义(P<0.01)。 结论腭裂术后1个月内进行语音训练对腭裂语音的改善无明显作用;接受腭裂手术1个月后,腭部肌肉运动、腭咽结构及功能渐渐恢复,在此期间进行语音训练对改善腭裂术后腭裂语音功能有至关重要的作用。
英文摘要:
      Objective To evaluate the effect of early speech training in enhancing speech definition for cleft palate patients following repair surgery and explore the optimal opportunity for speech training. MethodsFifty-six articulation deficient cleft palate patients who had been surgically repaired were examined with speech analysis system pre-and post-operation. Fourteen patients who accept the systematic speech training were compared with 23 patients who did not accept speech training in 30 days after operation. ResultsIt was shown that the speech articulations of the patients without speech training did not improved significantly on average in 3 weeks after operation(P>0.05),but significantly improved after 30 days when compared with the pre-operation(P<0.05). The speech articulations of 14 patients intervened with the systematic speech training were significantly improved(P<0.001) as compared with that of those without speech training. ConclusionEarly systematic speech training were of great benefit in improving the speech articulation of cleft palate patients.
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