[腭咽功能不全患者的汉语清晰度评估]
[The evaluation of the Chinese intelligibility of patients with velopharyngeal incompetence].
作者信息
Chen Yang, Wang Guo-min, Yu Li-ying, Wu Yi-lai, Tian Xian-fen
机构信息
Craniofacial Center, School of Stomatology, Shanghai Second Medical University, Shanghai 200011, China.
出版信息
Zhonghua Kou Qiang Yi Xue Za Zhi. 2003 May;38(3):169-72.
OBJECTIVE
To study the Chinese intelligibility of patients with velopharyngeal incompetence (VPI).
METHODS
100 patients with VPI and 32 normal students were selected for this study. Of 10 patients, 15 with cleft palate, 21 with congenital velopharyngeal incompetence, 56 with post-palatoplasty VPI and 8 with post-pharyngoplasty VPI. Chinese intelligibility was measured by three speech pathologists and relation between degree of abnormal articulation and Chinese intelligibility were studied.
RESULTS
Chinese intelligibility of the controls was 99.0% and the patients with VPI were 35.2%. Of the patients, the cleft palate was 19.9%, the congenital velopharyngeal incompetence was 32.8%, the post-palatoplasty VPI was 40.3% and the post-pharyngoplasty VPI was 35.2%. The data showed obvious difference among the controls and sub-types of VPI (P < 0.01).
CONCLUSIONS
(1) Chinese intelligibility of VPI accompanied with hypernasality is worse. (2) Of misarticulation of VPI, the cleft palate is the worst, in turn the others are the congenital velopharyngeal incompetence, the post-pharyngoplasty VPI and the post-palatoplasty VPI.
目的
研究腭咽功能不全（VPI）患者的汉语清晰度。
方法
选取100例VPI患者和32名正常学生进行本研究。100例患者中，腭裂患者15例，先天性腭咽功能不全患者21例，腭裂修复术后VPI患者56例，咽成形术后VPI患者8例。由三名言语病理学家测量汉语清晰度，并研究异常发音程度与汉语清晰度之间的关系。
结果
对照组的汉语清晰度为99.0%，VPI患者为35.2%。患者中，腭裂患者为19.9%，先天性腭咽功能不全患者为32.8%，腭裂修复术后VPI患者为40.3%，咽成形术后VPI患者为35.2%。数据显示对照组与VPI各亚型之间存在明显差异（P < 0.01）。
结论
（1）伴有鼻音过重的VPI患者的汉语清晰度较差。（2）在VPI的发音错误中，腭裂患者最差，其次依次为先天性腭咽功能不全患者、咽成形术后VPI患者和腭裂修复术后VPI患者。
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