目的探讨成年功能性构音障碍（FAD）患者的临床特点与语音训练方法。 方法对37例成年FAD患者进行语音评估,分析其临床特点并进行针对性的语音训练。 结果37例成年FAD患者主要的构音错误类型为置换、歪曲，其次为脱落。构音错误方式有舌前音化（19例）、非送气化（11例）、侧化构音（10例）、舌后音化（7例）、辅音脱落（7例）、混合型（4例）、唇齿音化（3例）、舌面音化（2例）。经过1～5个疗程的语音训练，28例治愈，8例好转，1例效，训练后的语音清晰度测定值［（91.22±10.10）%］较训练前［（56.03±14.71）%］提高，差异有统计学意义（P<0.05）。 结论成年FAD患者主要的构音错误类型是置换和歪曲，基于构音错误方式开展针对性语音训练是治疗成年FAD的有效措施。 Objective To explore the clinical characteristics of adults with functional articulation disorders (FADs) and suitable speech training methods. Methods Phonological evaluation was carried out for 37 adults with functional articulation disorders whose clinical characteristics were analyzed, then targeted speech training was established. ResultsThe main erroneous articulation patterns of the adults were substitution, followed by distortion and omission. The erroneous articulation types included forward movement of the tongue (19 cases), insufficient aspiration (11 cases), lateralization (10 cases), backward movement of the tongue (7 cases), omission of consonants (7 cases), comprehensive errors (4 cases), and replacement by labiodental and lingua-palatal phonemes (3 and 2 cases respectively). Twenty-eight adults were cured, 8 adults were improved, and 1 adult showed unsatisfactory effects after 1 to 5 courses of speech training. The average speech intelligibility score increased significantly from (56.03±14.71)% before speech training to (91.22±10.10)% afterward. Conclusion The main erroneous patterns of adults with functional articulation disorders are substitution and distortion. Targeted speech training was shown to be significantly effective
