甘桔冰梅片联合“咽”音训练治疗声带小结的疗效分析

发布时间：2018-01-19 02:35

本文关键词： 声带小结 “咽”音训练甘桔冰梅片嗓音声学分析　出处：《听力学及言语疾病杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的探讨甘桔冰梅片联合"咽"音训练治疗声带小结的疗效。方法选取72例声带小结患者,随机分为甲、乙两组:甲组(36例)用甘桔冰梅片治疗,乙组(36例)用甘桔冰梅片联合"咽"音训练治疗。甘桔冰梅片口服,每天3次,2片/次,2周为一个疗程,共4个疗程;"咽"音训练15天为一个疗程,共4个疗程。选取健康体检者60例为正常对照组。所有患者在初次就诊和治疗结束后1周行嗓音障碍指数(VHI)量表自我评估、嗓音声学检测和频闪喉镜检查,正常对照组行VHI量表自我评估和嗓音声学检测。结果甲组治疗后VHI的T、F、P、E评分与治疗前比较均降低(P0.05),但除P评分与正常对照组差异无统计学意义(P0.05)外,T、F、E评分均仍高于正常对照组(P0.05);乙组治疗后VHI的T、F、P、E评分与治疗前相比均降低(P0.05),且T、F、P、E均接近于正常对照组(P0.05);乙组治疗后VHI量表评分明显低于甲组(P0.05)。甲组治疗后与治疗前相比F0升高,jitter、shimmer、NHR降低(P0.05),但与正常对照组差异仍有统计学意义(P0.05);乙组治疗后与治疗前相比F0升高,jitter、shimmer、NHR降低(P0.05),且jitter和shimmer接近正常对照组(P0.05);治疗后乙组F0高于甲组、jitter和shimmer低于甲组,差异均有统计学意义(P0.05)。治疗后甲组28例(77.78%,28/36)声带小结消失或明显缩小,乙组35例(97.22%,35/36)声带小结消失或明显缩小,差异有统计学意义(P0.05)。结论单纯甘桔冰梅片治疗、甘桔冰梅片联合"咽"音训练治疗对声带小结患者均有疗效,但甘桔冰梅片联合"咽"音训练治疗对声带小结的疗效更佳。
[Abstract]:Objective to investigate the therapeutic effect of Gankangbing Mei tablet combined with "pharynx" sound training in the treatment of vocal cord nodules. Methods 72 patients with vocal cord nodules were randomly divided into two groups: group A (n = 36) and group A (n = 36). Group B (n = 36) were treated with Gankangbing Mei tablets combined with "pharynx" tone training. Gankangbing Mei tablets were taken orally three times a day, 2 tablets per day for 2 weeks as a course of treatment, for a total of 4 courses of treatment. "pharynx" sound training for 15 days as a course of treatment. A total of 4 courses of treatment. 60 healthy people were selected as the normal control group. All the patients were assessed with VHII at the first visit and 1 week after treatment. Voice acoustics test and stroboscopic laryngoscopy were performed in the control group. Results VHI scale and voice acoustic test were performed in the normal control group. The E score was significantly lower than that before treatment (P 0.05), but there was no significant difference between the P score and the normal control group (P 0.05). The E score was still higher than that of the normal control group (P 0.05). After treatment, the scores of VHI in group B were significantly lower than those before treatment (P 0.05), and the scores of VHI were close to those of normal control group (P 0.05). After treatment, the score of VHI in group B was significantly lower than that in group A (P 0.05). After treatment, the F0 level in group A was higher than that in group A (P 0.05). However, the difference between the control group and the control group was still statistically significant (P 0.05). In group B, F0 was higher than that before treatment. The NHR of group B was significantly lower than that of control group (P 0.05). Jitter and shimmer were similar to those of normal control group (P0.05). After treatment, F0 in group B was higher than that in group A and shimmer was lower than that in group A. the difference was statistically significant (P 0.05). After treatment, there were 28 cases in group A (77.78%). 28 / 36) the vocal nodules disappeared or decreased significantly, and in group B 35 cases (97.2222 / 35 / 36) disappeared or decreased significantly. The difference was statistically significant (P 0.05). Conclusion the treatment of pure tangerine ice plum tablets and combined with "pharynx" sound training is effective in all patients with vocal cord nodule. [WT5HZ] [WT5 "HZ] [WT5" HZ] [WT5 "BZ]. But Gankuangbing Plum tablet combined with "pharynx" sound training treatment of vocal nodules is better.
【作者单位】：厦门市第二医院耳鼻咽喉科;厦门市第二医院质控科;
【分类号】：R767.4
【正文快照】： 1厦门市第二医院耳鼻咽喉科(厦门361021);2厦门市第二医院质控科control group,the score of F,P,E,T were close to normal(P0.05).The VHI score in group B were significantlylower than those of in group A(P0.05).In Group A compared with before treatment,jitter,

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