›› 2019, Vol. 39 ›› Issue (5): 418-422.

• 临床研究 • 上一篇    下一篇

正常成人发音和鼓气过程中腭咽闭合的影像学比较研究

王雨晨1,邱秋2,姜成惠2,李盛3,汪彬昺4,江宏兵1,施星辉2   

  1. 1. 南京医科大学附属口腔医院
    2. 南京医科大学附属江苏省口腔医院
    3. 南京医科大学口腔疾病研究江苏省重点实验室, 南京医科大学附属口腔医院
    4.
  • 收稿日期:2018-06-15 修回日期:2018-08-15 出版日期:2019-05-28 发布日期:2019-05-21
  • 通讯作者: 施星辉 E-mail:s091119@163.com

Imageological comparative study of velopharyngeal closure between articulation and air blowing by typical Mandarin speaker

  • Received:2018-06-15 Revised:2018-08-15 Online:2019-05-28 Published:2019-05-21

摘要: 目的 比较正常成人发音和鼓气过程中腭咽闭合运动的差异。方法 对12名正常成年女性采取拍摄头颅侧位片的方法,分别拍摄发/i:/音时和鼓气时的头颅侧位片,测量鼓气和发音时的腭咽闭合率和软腭抬升高度。结果 实验对象的鼓气状态下腭咽闭合率的平均值为62.95%,标准差为4.89,言语状态时腭咽闭合率平均值为75.03%,标准差为5.34,两者之间具有显著性差异;鼓气状态软腭抬升高度平均值为0.5833cm,标准差为0.2340,言语状态时软腭抬升高度平均值为1.3259cm,标准差为0.5632,两者之间有显著性差异。结论 鼓气训练从一定程度对腭咽闭合功能的康复治疗有辅助作用,但这一状态下的腭咽闭合率和软腭抬升高度都低于发音时的平均水平,尚不能完全达到正常人发音时所需要的腭咽闭合的状态。鼓气训练对于改善腭咽闭合运动的有效性还需要进一步深入的研究。

关键词: 发音状态, 腭咽闭合, 头颅侧位片

Abstract: Objective To compare the difference in velopharyngeal closure between articulation and air blowing by typical Mandarin speaker. Methods The rising height of velopharyngeal closure and soft palate elevations during the articulation of /i:/ and air blowing was measured using the lateral cephalogram of 12 female adult speakers. Results The average velopharyngeal closure rate of all subjects was 62.95% during air blowing. The standard deviation was 4.89. The mean velopharyngeal closure rate was 75.03% during air blowing, while the standard deviation was 5.34 for all subjects. There was a significant difference between the two states. The soft palate elevation was 0.5833 cm and the standard deviation was 0.2340 during air blowing. The average soft elevation during articulation was 1.3259 cm and the standard deviation was 0.563. There was a significant difference between the two. Conclusion Blowing training may facilitate the rehabilitation of the velopharyngeal function to some extent. However, both the velopharyngeal closure rate and the soft palatal elevation are significantly smaller during air blowing than that of articulation, which can’t completely achieve the closure state of the articulation of normal people The efficiency of air blowing improving velopharyngeal closure needs further investigation.

Key words: articulation, velopharyngeal competence, cephalogram

中图分类号: