中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
9期
1189-1190,1196
,共3页
Broca%失语%语音障碍
Broca%失語%語音障礙
Broca%실어%어음장애
Broca%Aphasia%Voice disorders
目的：探讨Broca失语的语音障碍、错误特点和原因。方法：选取2011年6月至2013年6月期间我院收治的文化程度为初中以上的Broca失语患者84例。根据《黄昭鸣-韩知娟词表》中的33个词和患者接受失语症检查时的现场录音材料对患者的单个声母音位发音和韵母音位发音错误进行分析，并根据分析结果和系统有序的音位治疗框架分析Broca失语语音障碍的原因和治疗策略。结果：患者单个声母音位发音错误以t、l、k、j、q、c、s、zh、ch以及sh为主，亦有部分患者发生除m外的其他声母音位发音错误，单个韵母音位发音错误的发生率均较低，其中发生率超过5%的有e、i、ü、ei、ian和er，发生率超过10%只有i，差异有统计学意义（P＜0.01）。患者音位发音错误类型以替换错误为主（80.95%），亦有部分患者发生省略错误（10.71%）和增加错误（13.10%），差异有统计学意义（P＜0.01）。结论：Broca失语患者的语音障碍主要表现在声母上，部分患者亦可出现韵母发音错误。患者的发音错误以类似替换为主。因此可根据患者的个体情况通过口型、舌位等的纠正实现音位矫正、辅助患者获得正确发音。
目的：探討Broca失語的語音障礙、錯誤特點和原因。方法：選取2011年6月至2013年6月期間我院收治的文化程度為初中以上的Broca失語患者84例。根據《黃昭鳴-韓知娟詞錶》中的33箇詞和患者接受失語癥檢查時的現場錄音材料對患者的單箇聲母音位髮音和韻母音位髮音錯誤進行分析，併根據分析結果和繫統有序的音位治療框架分析Broca失語語音障礙的原因和治療策略。結果：患者單箇聲母音位髮音錯誤以t、l、k、j、q、c、s、zh、ch以及sh為主，亦有部分患者髮生除m外的其他聲母音位髮音錯誤，單箇韻母音位髮音錯誤的髮生率均較低，其中髮生率超過5%的有e、i、ü、ei、ian和er，髮生率超過10%隻有i，差異有統計學意義（P＜0.01）。患者音位髮音錯誤類型以替換錯誤為主（80.95%），亦有部分患者髮生省略錯誤（10.71%）和增加錯誤（13.10%），差異有統計學意義（P＜0.01）。結論：Broca失語患者的語音障礙主要錶現在聲母上，部分患者亦可齣現韻母髮音錯誤。患者的髮音錯誤以類似替換為主。因此可根據患者的箇體情況通過口型、舌位等的糾正實現音位矯正、輔助患者穫得正確髮音。
목적：탐토Broca실어적어음장애、착오특점화원인。방법：선취2011년6월지2013년6월기간아원수치적문화정도위초중이상적Broca실어환자84례。근거《황소명-한지연사표》중적33개사화환자접수실어증검사시적현장록음재료대환자적단개성모음위발음화운모음위발음착오진행분석，병근거분석결과화계통유서적음위치료광가분석Broca실어어음장애적원인화치료책략。결과：환자단개성모음위발음착오이t、l、k、j、q、c、s、zh、ch이급sh위주，역유부분환자발생제m외적기타성모음위발음착오，단개운모음위발음착오적발생솔균교저，기중발생솔초과5%적유e、i、ü、ei、ian화er，발생솔초과10%지유i，차이유통계학의의（P＜0.01）。환자음위발음착오류형이체환착오위주（80.95%），역유부분환자발생성략착오（10.71%）화증가착오（13.10%），차이유통계학의의（P＜0.01）。결론：Broca실어환자적어음장애주요표현재성모상，부분환자역가출현운모발음착오。환자적발음착오이유사체환위주。인차가근거환자적개체정황통과구형、설위등적규정실현음위교정、보조환자획득정학발음。
[ABSTRACT]Objective: To explore the voice disorders and their error characteristics and the reason of patients with Broca aphasia. Methods:84 patients with Broca aphasia and junior high school or above school education in our hospital from June,2011 to June, 2013 culture for the above were selected. single phoneme pronunciation and pronunciation phoneme pronunciation errors of the patients was analyzed according to 33 words of"Zhao-ming huang-Han Zhijuan glossary"and aphasia examination results taken in recording material, and the reasons and treatment strategies for voice disorders was analyzed according to the results of analysis and treatment system and orderly phoneme framework.Results:Single consonant phoneme pronunciation errors mainly occurs on t, l, k, j, q, c, s, zh, ch, sh, and some patients also have error occurred on other initials phonemes. The incidence of single final phoneme pronunciation errors is low. The phoneme pronunciation error incidence under 5% are e, i, u, ei, Ian, and er, and the incidence of more than 10% is i only.The difference is statistically significant (P<0.01). The mainly type of phoneme pronunciation errors in patients is replacement error (80.95%), some patients also have ellipsis error (10.71%) and increasing error (13.10%),and the difference is statistically significant (P<0.01). Conclusion:Voice disorders of patients with broca aphasia mainly occur on consonant, and some patients may have finals pronunciation errors.The mainly type of phoneme pronunciation errors in patients is replacement error. Therefore pronunciation correction main be achieved by phoneme correction with correcting mouth and tongue shape correction according to patient's individual situation.
