咂舌法在维吾尔族异常舌尖前音、舌面音治疗中的疗效分析

The effects of smacking tongue method in the treatment of abnormal blade-alveolar vowel and alveo-palatal sound of Uygur subjects

目的:探讨咂舌法在维吾尔族异常舌尖前音、舌面音治疗中的应用效果。方法:采用随机对照研究的方法将维吾尔族异常舌尖前音、舌面音患者46例(4~14岁,平均6.4岁)患者随机分为2组(n=23),对照组采用常规语音治疗方法,实验组在常规语音治疗的基础上配合咂舌法训练。语音治疗前后均在语音治疗师的带读下,进行语音清晰度和舌尖前音、舌面音清晰度检测,比较2组患儿语音治疗前和治疗4周后的清晰度结果。结果:对照组和试验组训练前语音清晰度分别为37.5%和39.8%(P>0.001),语音训练后分别为82.6%和94.2%(P=0.000),舌尖前音和舌面音清晰度治疗前分别为14.9%和11.8%(P>0.001),语音训练后分别为85.2%和95.3%(P=0.000),治疗后2组患者的语音清晰度及舌尖前音和舌面音清晰度均明显提高(P=0.000),且试验组明显高于对照组(P=0.000)。结论:在语音治疗中加入咂舌法,可以提高维吾尔族患者语音特别是舌尖前音的舌面音的清晰度。

Objective: To study the effects of smacking tongue method in the treatment of abno rm al blade- alveolar vowel (BAV) and alveo-palatal sound(APS) of Uygur subjects. Methods: 46 cases of Uyghur patients(aged 4-14 years, averaged 6. 4 years) with ab normal BAV and APS were randomly allocated into 2 groups(n=23) base on the random control study design. The subjects in control group were given routine speech training, in experimental group were given routine speech training with smacking tongue methods. 4 week after treatment the speech perceptibility of all the subjects was examined. Results: Before treatment the speech perceptibility in control and experimental group was 37.5% and 39. 8%(P > 0. 001), the perceptibility of BAV and APS was 14. 9% and 11.8%(P > 0. 001), respectively. After treatment, the speech perceptibility of control and experimental group was 82. 6% and 94. 2%(P=0. 000), the perceptibility of BAV and APS was 85. 2% and 95. 3%(P=0. 000), respectively. In both groups the perceptibility of speech, BAV and APS were significantly improved (P=0. 000), those of experimental group were superior to control group (P=0. 000). Conclusion: Smacking tongue method is effective in the improvement of speech perceptibility of Uyghur subjects, especialy for BAV and APS.