脑卒中患者言语呼吸特征与言语韵律功能相关性分析及干预研究

张奕雯; 万勤; 王勇丽; 戴媛; 李蕴

doi:10.3969/j.issn.1672-4933.2024.06.014

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脑卒中患者言语呼吸特征与言语韵律功能相关性分析及干预研究

康复教育 | 更新时间：2024-11-04

- 脑卒中患者言语呼吸特征与言语韵律功能相关性分析及干预研究
- Relationship between Respiration Characteristics and Speech Prosody and Intervention Study on Post-Stroke Patients
- 中国听力语言康复科学杂志 2024年22卷第6期页码：618-623
- 作者机构：
  
  1.上海交通大学医学院附属第九人民医院上海 200011
  2.华东师范大学教育学部康复科学系上海 200333
  3.安徽省皖南康复医院/芜湖市第五人民医院芜湖 241000
- 作者简介：
  
  张奕雯博士初级技师；研究方向：听觉言语康复
  李蕴，E-mail：doctor@sh9hospital-ent.com
- 基金信息：
  
  上海交通大学医学院附属第九人民医院基础研究助推计划资助(JYZZ230);国家重点研发计划项目(2020YFC2005200)
- DOI：10.3969/j.issn.1672-4933.2024.06.014
  中图分类号： G762
- 纸质出版日期：2024-11-15，
  
  收稿日期：2024-04-10，
- 稿件说明：
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张奕雯,万勤,王勇丽等.脑卒中患者言语呼吸特征与言语韵律功能相关性分析及干预研究[J].中国听力语言康复科学杂志,2024,22(06):618-623.

ZHANG Yi-wen,WAN Qin,WANG Yong-li,et al.Relationship between Respiration Characteristics and Speech Prosody and Intervention Study on Post-Stroke Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):618-623.
张奕雯,万勤,王勇丽等.脑卒中患者言语呼吸特征与言语韵律功能相关性分析及干预研究[J].中国听力语言康复科学杂志,2024,22(06):618-623. DOI： 10.3969/j.issn.1672-4933.2024.06.014.

ZHANG Yi-wen,WAN Qin,WANG Yong-li,et al.Relationship between Respiration Characteristics and Speech Prosody and Intervention Study on Post-Stroke Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):618-623. DOI： 10.3969/j.issn.1672-4933.2024.06.014.

摘要

目的

探讨脑卒中患者的言语呼吸特征及其与言语韵律功能之间的关系。

方法

收集2022年1月～2022年6月本院35例脑卒中患者作为实验组，其中随机选取12例纳入A组（干预组），其余23例为B组（未干预组），另收集32例年龄、性别匹配的健康成人作为对照组，所有受试者朗读短文并录音，分析其言语呼吸特征，包括最长声时（maximum phonation time，MPT）、最大数数能力（maximum count ability，MCA）、s/z比，并从言语韵律的3个维度进行声学分析，比较两组参数结果，分析言语呼吸特征与言语韵律功能参数的相关性。对A组进行言语呼吸训练，比较干预前后患者的言语呼吸、言语韵律功能改善情况。

结果

实验组MPT、MCA、言语速率（speech rate，SR）、构音速率（articulation rate，AR）、疑问句整句基频标准差、疑问句整句K值显著小于对照组（

＜0.05），非自然停顿次数、重音音节总时长显著高于对照组（

＜0.05）。实验组非自然停顿次数、SR、AR、疑问句整句K值、疑问句边界调K值、重音音节总时长、重音音节平均强度与MPT显著相关（

＜0.05），非自然停顿次数、SR、疑问句整句K值与MCA显著相关（

＜0.05）。言语呼吸训练后，A组的MPT、MCA、非自然停顿次数、SR、AR和疑问句整句K值均显著改善（

＜0.05）。

结论

脑卒中患者言语呼吸存在缺陷，表现为呼吸支持不足，呼吸与发声协调性差，患者言语呼吸特征与言语韵律功能相关。

Abstract

Objective

To investigate changes in respiratory characteristics of patients after stroke and their relationship with speech prosody function.

Methods

From January 2022 to June 2022

35 stroke patients were collected as the experimental group

among them

12 were randomly assigned to Group A (intervention group)

while the remaining 23 were in Group B (non-intervention group). 32 healthy adults matched for age and gender were collected as the control group. All the participants read short texts aloud and were recorded. The respiration parameters

including Maximum Phonation Time (MPT)

Maximum Count Ability (MCA)

s/z ratio

and acoustic analysis of speech prosody from three dimensions were analyzed. A comparison was made between the experimental and control groups

and a correlation analysis was conducted between respiratory characteristics and speech prosody parameters. Group A received speech respiration training

the acoustic parameters of respiration and speech prosody were compared before and after the trainings

Results

The MPT

MCA

SD and F

slope of whole interrogative sentences in the experimental group were significantly lower than those in the control group (

0.05)

while the unnatural pause number and the duration of stressed syllables in the experimental group were significantly higher than those in the control group (

0.05). The unnatural pause number

slope of whole interrogative sentences

duration of stressed syllables and average intensity of stressed syllables were significantly correlated with MPT (

0.05). The unnatural pause number

SR and F

slope of whole interrogative sentences were correlated with MCA (

0.05). Significant improvements were observed in MPT

MCA

unnatural pause number

AR and F

slope of whole interrogative sentences after respiration training (

0.05)

Conclusion

Patients after stroke exhibit respiratory deficiencies

characterized by insufficient respiratory support and poor coordination between respiration and phonation

which were related to speech prosody function.

关键词

脑卒中言语呼吸言语韵律声学分析

Keywords

StrokeRespirationSpeech prosodyAcoustic analysis

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