社科与实践

译介与原生汉语癌症健康信息沟通质量分析

赵 梦丹

成都理工大学外国语学院

黄 日柳

成都理工大学外国语学院

DOI: https://doi.org/10.59429/sksj.v3i10.15816

Keywords: 互联网医疗沟通；沟通质量；语料库话语分析；癌症健康信息；翻译普遍性

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Abstract

互联网健康科普是癌症知识传播的重要载体，但现有互联网医疗沟通质量研究多将沟通质量视作可测量的结 果属性，较少从话语 - 语言层面揭示原生与译介健康文本的语言实现差异。本文选取权威平台原生汉语、国际机构 译介汉语癌症科普文本各 100 篇，自建可比语料库，融合语料库辅助话语分析与翻译普遍性理论，从词汇、句法、 语篇维度对比词汇密度、被动结构、连接词、文化负载成语的特征差异，探究语言选择对信息可及性、逻辑显化、 文化适配三大沟通质量维度的影响。研究表明，译介文本未出现翻译普遍性所指的词汇简化，反而词汇密度更高， 在保障术语精确性的同时加重受众认知负担；两类文本被动句法特征趋同，译者实现句法规范化；译介文本依靠高 频连接词实现逻辑显化，但大量删减文化成语，提升清晰度的同时弱化文化亲和力。据此构建网络癌症健康信息话 语评价模型，从分层内容供给、医学翻译规范、自动化检测工具三方面提出优化路径。本研究拓展翻译普遍性在中 文健康传播的应用，证实沟通质量差异可通过量化语言特征开展经验识别，为网络健康信息编审、翻译及平台治理 提供实证支撑。

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