Strengthening The Voice Of The Double Lips Subglottic Blasting Speech Therapy For Speech Disorders In Patients After Cleft Palate Surgery

Objective:Through the use of different ways speech training already does complete cleft in Shanxi Province (CPP) postoperative patients for clinical speech treatment, and then analyzes the subglottic lips to strengthen blasting the special training methods sound in the clinical effect of speech treatment.Methods:1. Case collection and training:collect from January2010to January2012to a mountain of medical oral surgery clinic of shanxi cleft patients, according to the standard of the complete the provisions of oral and maxillofacial region after examination and determined that the completeness of the postoperative speech function obstacle of cleft50cases of patients, and the recording, a speech training of all three months (training according to table1), and then the recording, subjective analysis.2. A period after training in50patients will randomly divided into two groups, one group of routine training group, one group of strengthen special training. Conventional group for regular speech training (see the experimental method), strengthen the group on a regular basis to join double lip blasting sounds (B\P\M) special training (in table2), and then recording.3. Founded3～5people expert group, in accordance with the specific form of all patients corresponding with experience on the tape to listen, to hear the results calculated according to speech intelligibility value, and then in two groups to accept different training methods later got results value of statistical analysis, comparison of difference between both eventually curative effect.4. Using a computer speech lab (CSL) to the recording of data collected for voice acoustic characteristics analysis. Has been stored in a computer voice software in the speech signal, after entry, identify, statistical speech sound kind, get frequency, time and intensity of3D graphics spectrograph carry, and its change was analyzed.Consequence:1. A period after march speech training,50patients speech effect after therapy, improve clarity, from the first not training52.68%improved to training after73.54%, by an average of20.86%, a statistically significant difference (P<0.01).2. The second phase of speech training after comparing the two kinds of methods of curative effect, calculations of the speech intelligibility value for quantitative material, statistical methods use repeated Measures Analysis of Variance, regular training group and contrast between the special training group (P<0.05), two kinds of methods are different and strengthen group specific training improve voice effect is better; Inspection in the group (P<0.05), the two times before and after within the contrast of the measured value have difference, the results are significant, explain before and after workouts speech intelligibility were increased.3. Normal children’s language is not an isolated figure spectrum of the spectral lines, but many audio signal frequency of superposition, so there’s spectrum lines rule and clearly density populated, line is continuous and smooth. To complete cleft lips patients before and after the special training blasting sound speech spectrum do contrast, the risk of speech map density is not concentration spectrum lines, appear messy trends, there is very few gap and the frequency signals that are not certain laws, assumes the map desultorily, training patients after spectrum close to normal map and the relative training of speech signal than before, strong frequency superposition concentration, the map has a certain rule and more continuous.Conclusion:1. The experiment for shanxi patients have feasibility, confirmed to strengthen the lips of blasting sound training more routine training to improve speech function better, can make patients faster introductory speech training, the better to improve the effect of speech intelligibility.2. Strengthen training as a speech sound lips blasting introduction to the methods of learning, let the risk of patients can get bigger promotion pronunciation.3. The results of this experiment of shanxi unified speech treatment, assessment program cleft standards provide certain objective basis.