摘要
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。
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.
出处
《中国医药导刊》
2014年第9期1189-1190,1196,共3页
Chinese Journal of Medicinal Guide
基金
2011年度军区医学科技创新课题(项目编号:11MA018)
2011年宁波卫生职业技术学院校级课题(项目编号:201109)
