声带息肉和小结术后发声障碍患者嗓音训练疗效观察

发布时间：2018-03-04 07:12

本文选题：嗓音训练　切入点：声带小结　出处：《听力学及言语疾病杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的评价嗓音训练治疗声带息肉和声带小结喉显微手术后发音质量改善不佳患者的疗效。方法30例声带息肉和12例声带小结患者均于全麻下完成喉显微手术,术后1月仍声音嘶哑,对这42例患者进行12周嗓音训练,训练内容包括:心理辅导和宣教、肌肉松弛练习、呼吸训练、共鸣+吟唱练习,于训练前、训练12周后进行嗓音障碍指数(VHI)评分、嗓音声学分析、纤维喉镜或动态喉镜检查。结果 42例患者嗓音训练后声嘶明显好转,声带水肿减轻。嗓音训练后患者嗓音障碍指数(VHI)及基频微扰、振幅微扰及嗓音障碍严重程度指数(分别为22.21±9.48分、0.21%±0.18%、1.33%±0.55%、1.40±1.32)均较术前(分别为45.32±12.51分、0.35%±0.12%、2.38%±0.47%、-4.82±1.37)明显改善,与训练前比较差异均有统计学意义(均为P0.05)。结论嗓音训练能纠正不良的发声习惯,有利于促进声带息肉或小结术后患者的发声功能恢复。
[Abstract]:Objective to evaluate the effect of voice training in the treatment of vocal cord polyp and vocal cord nodule microsurgery. Methods 30 patients with vocal cord polyp and 12 patients with vocal cord nodules underwent laryngeal microsurgery under general anesthesia. On January, the patients were still hoarse. The 42 patients underwent 12 weeks of voice training. The training included psychological counseling and education, muscle relaxation, breathing training, resonance singing, and before the training. After 12 weeks of training, the voice disturbance index (VHI) score, voice acoustic analysis, fiberlaryngoscope or dynamic laryngoscope examination were performed. The vocal cord edema was alleviated. After voice training, the voice disturbance index (VHI), the fundamental frequency perturbation, the amplitude perturbation and the severity index of voice disturbance (22.21 卤9.48 scores, 0.21% 卤0.18 卤1.33% 卤0.5535% 卤1.32, respectively) were significantly improved compared with those before the operation (45.32 卤12.51, 0.35% 卤0.122.38% 卤0.4738% 卤4.82 卤1.37, respectively). Conclusion the voice training can correct the bad vocal habits and promote the recovery of vocal function after vocal cord polyp or nodule surgery.
【作者单位】：广东省佛山市第一人民医院耳鼻咽喉头颈外科;
【分类号】：R767.91

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