摘要
目的 分析唇腭裂患者语音治疗的效果及其影响因素,以提高语音治疗效果。方法 回顾性分析2015年1月至2021年8月在广西医科大学附属口腔医院完成唇腭裂语音治疗的107名患者的病例资料,采用二元Logistic回归模型分析治疗结果及治疗效果的影响因素。结果 语音初始清晰度对治疗效果的影响有统计学意义(χ^(2)=58.142,P<0.001),初始语音清晰度差的患者,达到治疗效果的概率是初始语音清晰度欠佳患者的0.010倍(比值比为0.010,95%置信区间为0.001~0.100)。完成治疗的治疗次数,显效组为(11.38±3.66)次,好转组为(6.45±2.92)次,治疗显效组高于好转组(t=6.684,P<0.001)。语音清晰度(t=18.224,P=0.000)、腭咽闭合程度(t=12.925,P=0.000)在语音治疗前后都有明显变化,差异有统计学意义。结论 影响语音治疗效果的因素是语音初始清晰度,唇腭裂的语音治疗在改善语音清晰度和提高腭咽功能方面有明显作用,合理的治疗次数是治疗效果的前提保证。
Objective To investigate and analyze the effectiveness and factors of speech therapy for cleft lip and pa-late and thus improve treatment outcomes.Methods A retrospective analysis was conducted on the case data of 107 patients who underwent speech therapy for cleft lip and palate at the Affiliated Stomatology Hospital of Guangxi Medical University from January 2015 to August 2021.A binary logistic regression model was used to analyze the treatment outcomes and influencing factors of treatment effectiveness.Results A statistically significant difference in treatment outcomes exists because of initial speech clarity(χ^(2)=58.142,P<0.001).The results of influencing factors indicate that the treatment effect for those with poor initial speech clarity is 0.010 times that of those with less than satisfactory initial speech clarity(odds ratio:0.010,95%confidence interval:0.001-0.100).The number of treatment sessions completed was 11.38±3.66 for the markedly effective group and 6.45±2.92 for the improved group,with the markedly effective group having a higher number of treatments(t=6.684,P<0.001).Both speech clarity(t=18.224,P=0.000)and velopharyngeal function(t=12.925,P=0.000)showed significant changes before and after speech therapy,with statistically significant differences.Conclusion The factors that affect the effectiveness of speech therapy include initial clarity of speech.Speech therapy for cleft lip and palate significantly improves speech clarity and enhances velopharyngeal function.Moreover,a reasonable number of treatment sessions is a prerequisite for ensuring treatment effectiveness.
作者
王晓萌
邝海
何灏逾
李鸿艺
林洁舲
李飞燕
Wang Xiaomeng;Kuang Hai;He Haoyu;Li Hongyi;Lin Jieling;Li Feiyan(Dept.of Oral and Maxillofacial Surgery,College&Hospital of Stomatology,Guangxi Medical University,Nanning 530021,China)
出处
《国际口腔医学杂志》
北大核心
2025年第5期627-633,共7页
International Journal of Stomatology
基金
广西医科大学青年科学基金(GXMUYSF202365)。
关键词
唇腭裂
语音治疗
语音初始清晰度
影响因素
cleft lip and palate
speech therapy
initial speech clarity
influencing factor
作者简介
王晓萌,副主任护师,硕士,Email:xiaomeng603@sina.com;通信作者:邝海,主任医师,博士,Email:kuanghai@hotmail.com。
