上海口腔医学

上海口腔医学 ›› 2014, Vol. 23 ›› Issue (5): 590-592.

• 临床研究 • 上一篇    下一篇

河南地区腭裂术后患者病理性语音特点探讨

黄莹莹1, 2, 李新明2, 赵军方2, 李峰2   

  1. 1.南阳医专第一附属医院 口腔颌面科,河南 南阳 473000; 2.郑州大学第一附属医院 口腔颌面外科,河南 郑州 450052
  • 收稿日期:2013-07-24 修回日期:2013-11-25 出版日期:2014-10-20 发布日期:2015-02-04
  • 通讯作者: 李新明,E-mil：lxming@zzu.edu.cn
  • 作者简介:黄莹莹（1987-）,女,硕士,医师,E-mil：hyyfighting@126.com
  • 基金资助:
    河南省卫生厅科技基金资助项目（201003030）; 河南省教育厅科技基金资助项目（2009A320023）

Study on articulation characteristics of patients after cleft palate repair in Henan province

HUANG Ying-ying1, 2, LI Xin-ming2, ZHAO Jun-fang2, LI Feng2   

  1. 1.Department of Oral and Maxillofacial, the First Affiliated Hospital of Nanyang Medical College. Nanyang 473000; 2.Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Zhengzhou University. Zhengzhou 450052, Henan Province, China
  • Received:2013-07-24 Revised:2013-11-25 Online:2014-10-20 Published:2015-02-04
  • Supported by:
    ; Supported by Science and Technology Projects of Health Department of Henan Province (201003030) and Science and Technology Project of Department of Education of Henan Province (2009A320023)

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摘要： 目的 通过对河南地区腭裂术后患者与舌位关系密切的异常语音构音特点及元音共振峰值的分析,揭示河南地区腭裂术后患者病理性语音的声学特点。方法 采集100份正常语音样本（正常语音组）及121份腭裂术后患者的语音样本（腭裂语音组）,根据录音资料得出患者的异常构音情况,经计算机语音工作站（computer speech lab,CSL）对2组语音样本的6个元音（a、o、e、i、u和ü）的前3个共振峰频率值（F1、F2、F3）进行测量分析,采用SPSS17.0软件包对数据进行两独立样本t检验。结果 腭裂语音组的异常语音出现率按构音点分别为舌尖前音占21.9%,舌尖中音占5.2%,舌尖后音占21.6%,舌面音占19.2%,舌根音占12.9%,舌前背音占6.6%;正常语音组与腭裂语音组在元音/a、o、e、u/的第二共振峰（F2）数值统计上,差异均无显著性（P>0.05）。2组在元音/i、ü/的第二共振峰（F2）差异有统计学意义（P<0.05）。2组在元音/a、o、e、i、u/的第一共振峰（F1）的差异均无统计学意义（P>0.05）。2组在除元音o外,第三共振峰（F3）差异均有显著性（P<0.05）。结论 河南地区腭裂术后异常语音患者的异常音,主要出现在辅音中的舌尖前音、舌尖后音及舌面音;河南地区腭裂术后腭咽闭合不全患者发音时与正常人相比,开口度方面无明显异常,主要是软腭上抬不足、舌尖上翘过高、r化音过重。

关键词: 河南地区, 腭裂, 异常构音, 元音共振峰, 计算机语音工作站

Abstract: PURPOSE: To establish the pathological speech characteristic of patients after cleft plate repair in Henan province by unusual speech frequency and vowel formants. METHODS: One hundred normal speech patients and 121 patients after cleft palate repair were selected, their formant frequency of vowels/ a,o,e,i,u,ü/ were obtained. The pathological speech frequency was collected in 121 postoperative patients. The acoustic features of the vowel were compared by SPSS17.0 software package with two independent sample t test. RESULTS: According to articulation position, 21.9% of misarticulation of postoperative patients occurred in dental consonants, 5.2% in retroflex consonants, 21.6% in alveolar consonants, 19.2% in palatal consonants, 12.9% in velar consonants and 6.6% in dorsum consonants. The average value of F2 of/a, o, e, u/did not show significant difference between the two groups (P>0.05).The difference of average value of F2 of /i,ü/ was significant (P<0.05). The average value of F1 of/a, o, e, I, u/did not show significant difference between the two groups (P>0.05).Except /a/,the average value of F3 of vowel /o, e, i, u, ü/showed significant difference between the two groups (P<0.05). CONCLUSIONS: Misarticulation of patients after cleft palate repair in Henan province mainly occurred in dental consonants, alveolar consonants and palatal consonants; tongue over curly can be observed in operated patients with cleft palate. There was no significant difference between the two groups in mouth opening.

Key words: Henan province, Cleft palate, Articulation disorder, Formant frequence of vowel, Computer speech lab