喉切除术后的沟通适应:语法复杂性和手势使用
Marise Neijman1,2, Bertus van Rooy2, Roland Pfau2
1Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
International journal of language & communication disorders
|February 23, 2026
概括
全喉切除术 (TL) 患者表现出改变的失流性,但保持了语法复杂性和手势使用. 姿态和暂停是TL后语音康复中至关重要的补偿工具.
科学领域:
- 语言学的语言学.
- 语音语言病理学 语音语言病理学
- 通信科学 通信科学
背景情况:
- 全喉切除术 (TL) 需要替代性语音康复,例如气管食道语音,由于语音丧失.
- 虽然研究了TL后的语音和可理解性,但口语复杂性和共同语音手势仍然不太了解.
- 调查这些方面对于在TL后进行全面的沟通康复至关重要.
研究的目的:
- 系统地比较TL患者的语法复杂性和共同语音手势使用与匹配的对照.
- 为了确定TL患者在沟通任务中是否表现出语法结构和手势模式的差异.
- 探索手势在TL后个体口语中的功能性作用.
主要方法:
- 一项涉及42名参与者的研究:21名TL患者使用气管食道语音和21名匹配的对照.
- 参与者参与了视频重述和图片描述任务,分析了音频视频录音.
- 分析重点是语法复杂性 (C单元,句子,单词顺序) 和共同语音手势 (类型,功能),控制单词数.
主要成果:
- 与对照组相比,TL患者产生的填充物和迷宫数量显著减少,但比对照组更多的短暂停顿.
- 在大多数口头语法复杂性测量方法中,没有观察到群体之间的显著差异.
- 在TL患者和健康对照者之间,手势频率,类型和功能是可比的.
结论:
- 整体喉切除术影响口语不流,这表明TL患者的语音规划要更加谨慎.
- 语法复杂性似乎相对不受影响,并与语音手势使用仍然完好无损后TL.
- 姿态和暂停作为有价值的补偿资源,突出了他们在TL康复和咨询中的重要性.
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