边缘性腭咽闭合不全异常语音治疗方法探讨

A preliminary study on speech therapy for marginal velopharyngeal insufficiency

目的：探讨边缘性腭咽闭合不全异常语音的治疗方法。方法：选择15例边缘性腭咽闭合不全患者,男10例,女5例,年龄8~25岁,平均17.6岁。采用行为疗法及有效的语音治疗,治疗前后进行汉语语音清晰度检测和吹气试验。结果：经过12~20周的治疗,汉语语音清晰度和吹气试验结果较治疗前明显提高。结论：边缘性腭咽闭合不全异常语音患者只要通过系列行为疗法建立良好的腭咽闭合,并配合有效的语音训练,就可获得满意的疗效和语音改善。

PURPOSE：To investigate the feature and therapy of patients with marginal velopharyngeal insufficiency（MVPI）.METHODS： Fifteen patients（10 males,5 females,age ranging form 8 to 25 years,mean age of 17.6 years） with MVPI were selected.All the patients received behavior therapy and speech therapy.Chinese speech intelligibility test and blow test were carried out before and after the therapy.RESULTS： All cases achieved satisfactory results through 12 to 20 weeks of speech therapy.The results of speech intelligibility test and blow test after therapy were better than those before therapy.CONCLUSIONS： For patients with MVPI,a satisfactory result and pronunciation improvement could be obtained through a series of behavior therapy and a good velopharyngeal closure.Supported by National Natural Science Foundation of China（81070813） and Research Found of Science and Technology Commission of Shanghai Municipality（08DZ2271100）.