维吾尔族腭裂患儿异常边音训练方法初探

A preliminary study on the training method of abnormal lateral articulation in Uygur children with cleft palate

目的结合汉语语音训练方法,达到快速矫正维吾尔族腭裂患儿L音治疗效果的目的。方法20例维吾尔族语音障碍患者,其中腭裂术后腭咽闭合功能良好者5例,腭裂术后行咽成形术患者10例,功能性语音障碍(FAD)患者5例,男性8例,女性12例,年龄(4.0~23)岁,平均年龄6岁,采用悬舌法进行L音训练,辅以口腔运动练习、呼吸训练、吹水泡训练,并在治疗前后定量检测汉语语音清晰度及L音清晰度。结果治疗效果满意,L音清晰度均值由22.8%提高到98.6%。结论L音异常主要与构音器官的异常运动有关,需要通过语音训练重建正确的发音部位和发音方式,L音训练关键是打开口腔,舌尖上抬抵住上腭后再缓慢下滑来控制异常发音。

Objective Combined with the method of Chinese pronunciation training,to achieve the effect of quick treatment on L sound on Uygur children with cleft palate.Methods A total of 20 Uygur patients with speech disorders were collected.There were 5 cases with with good velopharyngeal closure after cleft palate surgery.There were 10 cases with posterior pharyngeal flap.There were 5 cases with functional articulation disorders.All cases included 8 males and 12 females from 4 to 23 years old.The average age was 6 years old.All cases were trained L sound through the hanging tongue method and were,supplemented by oral sports practice,respiratory training and blowing bubbles training.The quantitative measurement of L speech intelligibility was carried out before speech therapy and after speech therapy.Results The effect of hanging tongue method therapy in speech treatment was satisfying.The L intelligibility rose from 22.8%to 98.6%.Conclusion Abnormal L sounds are mainly related to abnormal movements of articulation organs,and correcting articulation positions and modes needs to be reconstructed through phonetic training.The key to L sounds training is to open the mouth,lift the tip of the tongue against the palate,and then slowly slide down to control abnormal sounds.