一种以治疗方式为导向的腭裂相关语音障碍的分型系统:基于347例患者的回顾研究

doi:10.13591/j.cnki.kqyx.2022.04.010

口腔医学 ›› 2022, Vol. 42 ›› Issue (4): 332-338.doi: 10.13591/j.cnki.kqyx.2022.04.010

一种以治疗方式为导向的腭裂相关语音障碍的分型系统:基于347例患者的回顾研究

韩源¹, 汪彬昺², 李盛², 朱孟贤², 白云², 郑曦³, 杜一飞², 袁华², 万林忠², 江宏兵², 施星辉², 姜成惠²

1 南京中医药大学附属南京市中西医结合医院口腔科,江苏南京(210014);
2 南京医科大学附属口腔医院口腔颌面外科,江苏南京(210000);
3 遵义医科大学附属口腔医院口腔颌面外科,贵州遵义(563000)

修回日期:2021-11-08 发布日期:2022-04-28
通讯作者: 姜成惠 Tel:(025)69593094 E-mail:jiangchenghui_26@njmu.edu.cn
基金资助:
江苏省科技厅基础研究计划(BK20200666)

Treatment guided classification system for cleft palate related speech disorders:A retrospective study on 347 patients

HAN Yuan, WANG Binbing, LI Sheng, ZHU Mengxian, BAI Yun, ZHENG Xi, DU Yifei, YUAN Hua, WAN Linzhong, JIANG Hongbing, SHI Xinghui, JIANG Chenghui

Department of Stomatology, Nanjing Integrated Traditional Chinese and West Medicine Hospital affiliated to Nanjing Traditional Medical University, Nanjing 210014, China

Revised:2021-11-08 Published:2022-04-28

摘要/Abstract

摘要： 目的提出一种以治疗方式为导向的腭裂相关语音障碍的诊断分型,为临床诊疗提供参考。方法对2016年4月至2020年12月于南京医科大学附属口腔医院语言康复门诊就诊的347例腭裂相关语音障碍患者进行回顾,根据治疗方案的不同,分为尝试治疗、常规治疗、启音治疗、边缘性腭咽闭合不全治疗及早期语言干预治疗等五大基本模式。对每一模式的分布特征、患者的病例资料、手术信息、语音特征、腭咽功能及预后等要素进行回顾分析。结果所有研究对象中,171例(49.3%)属于尝试治疗模式,127例(36.6%)属于常规治疗模式,33例(9.5%)属于启音治疗模式,10例(2.9%)属于边缘性腭咽闭合不全治疗模式,另有6例(1.7%)属于早期语言干预治疗模式。结论以治疗方式为导向的腭裂相关语音障碍的分型,可为此类患者的临床诊治提供清晰的思路和指引,也为精准康复治疗提供参考。

关键词: 唇腭裂, 语音障碍, 腭咽功能, 分型研究

Abstract: Objective To explore a new treatment guided classification for cleft palate related speech disorders, so as to provide reference for clinical diagnosis and treatment. Methods A group of 347 patients with cleft palate related speech disorders, treated in the speech rehabilitation clinic of Affiliated Stomatological Hospital of Nanjing Medical University from April 2016 to December 2020, were divided into five basic modes:diagnostic treatment group, traditional treatment group, alpha group, marginal velopharyngeal competency group and early language intervention group. The distribution of each group was calculated.The personal information, surgery information, articulation features, velopharyngeal function and progosis of each group were analyzed retrospectively. Results Among all the subjects, 171 subjects belonged to the diagnostic treatment group, 127 subjects belonged to the traditional treatment group, 33 subjects belonged to alpha group, 10 subjects belonged to marginal hypernasality group, and 6 cases belonged to the early language intervention group. Conclusion The treatment guided classification of cleft palate related speech disorders would not only provide clear guidance for clinical diagnosis and treatment, but may also offer further information for precise rehabilitation treatment.

Key words: cleft lip and palate, speech sound disorder, velopharyngeal function, classification

中图分类号:

韩源, 汪彬昺, 李盛, 朱孟贤, 白云, 郑曦, 杜一飞, 袁华, 万林忠, 江宏兵, 施星辉, 姜成惠. 一种以治疗方式为导向的腭裂相关语音障碍的分型系统:基于347例患者的回顾研究[J]. 口腔医学, 2022, 42(4): 332-338.

HAN Yuan, WANG Binbing, LI Sheng, ZHU Mengxian, BAI Yun, ZHENG Xi, DU Yifei, YUAN Hua, WAN Linzhong, JIANG Hongbing, SHI Xinghui, JIANG Chenghui. Treatment guided classification system for cleft palate related speech disorders:A retrospective study on 347 patients[J]. Stomatology, 2022, 42(4): 332-338.

参考文献

[1] 陈仁吉. 中国腭裂语音治疗的现状与思考[J]. 国际口腔医学杂志, 2012, 39(1):1-5,9.
[2] Aslan BI, Gülşen A, Tirank ŞB, et al. Family functions and life quality of parents of children with cleft lip and palate[J]. J Craniofac Surg, 2018, 29(6):1614-1618.
[3] Jiang C,Whitehill TL. Evaluation of speech errors in Putonghua speakers with cleft palate:A critical review of methodology issues[J]. Clin Linguist Phon, 2014, 28(4):283-296.
[4] 李杨, 尹恒. 腭裂语音评估与治疗[M]. 北京:人民军医出版社, 2015.
[5] Peterson-Falzone S, Hardin-Jones M, Karnell MP. Cleft palate speech[M].St Louis:Mosby,2010.
[6] Peterson-Falzone SJ, Trost-Cardamone JE, Karnell, MP, et al. The clinician's guide to treating cleft palate speech[M].St Louis:Mosby,2010.
[7] 李盛. 腭裂与腭咽功能障碍的语音治疗[M]. 北京:人民卫生出版社, 2019.
[8] John A, Sell D, Sweeney T, et al. The cleft audit protocol for speech-augmented:A validated and reliable measure for auditing cleft speech[J]. Cleft Palate Craniofac J, 2006, 43(3):272-288.
[9] Jørgensen LD, Willadsen E. Longitudinal study of the development of obstruent correctness from ages 3 to 5 years in 108 Danish children with unilateral cleft lip and palate:A sub-study within a multicentre randomized controlled trial[J]. Int J Lang Commun Disord, 2020, 55(1):121-135.
[10] Malmenholt A, McAllister A, Lohmander A. Orofacial function, articulation proficiency, and intelligibility in 5-year-old children born with cleft lip and palate[J]. Cleft Palate Craniofac J, 2019, 56(3):321-330.
[11] Klintö K, Salameh EK, Lohmander A. Phonology in Swedish-speaking 5-year-olds born with unilateral cleft lip and palate and the relationship with consonant production at 3 years of age[J]. Int J Speech Lang Pathol, 2016, 18(2):147-156.
[12] Cleland J, Lloyd S, Campbell L,et al. The impact of real-time articulatory information on phonetic transcription:Ultrasound-aided transcription in cleft lip and palate speech[J]. Folia Phoniatr Logop, 2020, 72(2):120-130.
[13] Lohmander A, Persson C, Willadsen E, et al. Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate:4. Speech outcomes in 5-year-olds-velopharyngeal competency and hypernasality[J]. J Plast Surg Hand Surg, 2017, 51(1):27-37.
[14] Kalita S, Girish KS, M P, et al. Objective assessment of cleft lip and palate speech intelligibility using articulation and hypernasality measures[J]. J Acoust Soc Am, 2019, 146(2):1164.
[15] Derakhshandeh F, Nikmaram M, Hosseinabad HH, et al. Speech characteristics after articulation therapy in children with cleft palate and velopharyngeal dysfunction-A single case experimental design[J]. Int J Pediatr Otorhinolaryngol, 2016, 86:104-113.
[16] 刘琼, 蒋莉萍, 陈阳, 等. 边缘性腭咽闭合不全异常语音治疗方法探讨[J]. 上海口腔医学, 2011, 20(6):611-614.
[17] 杨艳艳, 马思维, 任战平, 等. CPAP在边缘性腭咽闭合功能障碍患者言语治疗中的应用效果评价[J]. 中国美容医学, 2020, 29(9):49-53.
[18] Boyce JO, Kilpatrick N, Reilly S, et al. Receptive and expressive language characteristics of school-aged children with non-syndromic cleft lip and/or palate[J]. Int J Lang Commun Disord, 2018, 53(5):959-968.
[19] 马思维. 汉语普通话腭裂婴幼儿语音语言发展早期干预探讨[J]. 中国听力语言康复科学杂志, 2019, 17(3):179-182.

一种以治疗方式为导向的腭裂相关语音障碍的分型系统:基于347例患者的回顾研究

Treatment guided classification system for cleft palate related speech disorders:A retrospective study on 347 patients

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	苏咏宽潘永初李媛罗瑶侯伟韩霖霏. 非综合征唇腭裂患者与骨性Ⅰ类人群的上气道对称性分析研究[J]. , 2022, 42(7): 617-621.
[2]	吴涤清, 李志萍, 孟箭, 陈彬. 计算机辅助测量唇腭裂继发颌骨畸形患者手术前后口腔及气道容积的变化[J]. 口腔医学, 2022, 42(4): 339-344.
[3]	张丽娟, 李晨曦, 陈思宇, 买买提吐逊·吐尔地, 李伟东. 婴幼儿唇腭裂修补全麻术后运用右旋美托咪定预防患儿苏醒期躁动的效果研究[J]. 口腔医学, 2022, 42(2): 140-143.
[4]	房晓旭范存晖. 口周力对唇腭裂患者牙颌发育影响的研究现状[J]. , 2019, 39(9): 840-843.
[5]	刘觅何苇. 腭裂患者腭咽功能的影像学评价研究进展[J]. , 2018, 38(4): 368-371.
[6]	顾启慧王宇婷侯伟韶青华厉丹丹马俊青王震东. 双侧完全性唇腭裂新生儿进行鼻-齿槽塑形治疗的临床研究[J]. , 2016, 36(9): 813-816.
[7]	倪初蕾贾琦林. 单侧完全性唇腭裂患者下颌骨对称性的三维分析[J]. , 2015, 35(4): 274-277.
[8]	潘永初周连马兰袁华马俊青张卫兵江宏兵王林. 非综合征型唇腭裂发病危险因素的病例对照研究[J]. , 2015, 35(12): 1060-1063.
[9]	钱忠平,施星辉,邱芬芳,汪彬昺,赵国强. 汉语最小语音对和语音清晰度关系的初步研究[J]. , 2012, 32(6): 336-340.
[10]	韩　敏,王春玲,王海任,肖丽丽,呼明燕,任大鹏. 正畸治疗对恒牙晚期单侧完全性唇腭裂患者鼻部形态影响的研究[J]. , 2012, 32(3): 140-142.
[11]	王彬,谈龙. 新生儿单侧完全性唇腭裂的鼻-齿槽塑形治疗的临床研究[J]. , 2012, 32(11): 697-700.
[12]	刘铃；王春玲；高晓丽；王海任. 唇腭裂患者上颌快速扩弓后口咽部气道变化的研究[J]. , 2011, 31(5): 273-275,281.
[13]	陆史俊,王震东,王林. 唇腭裂新生儿的模型制取方法初探[J]. , 2011, 31(04): 216-218.
[14]	刘　毅，王春玲，孙慧芳，王海任. 恒牙晚期单侧完全性唇腭裂患者正畸治疗临床疗效研究[J]. , 2011, 31(03): 132-.
[15]	卜忠兴,张红闯,潘永初,韩越,张卫兵,马俊青,江宏兵,万林忠,王林. 表皮生长因子基因遗传变异与非综合征型唇腭裂的研究[J]. , 2010, 30(11): 641-643,648.