发声训练治疗声带小结的疗效分析

发布时间：2018-06-05 05:15

本文选题：声带小结 + 发声训练　；参考：《听力学及言语疾病杂志》2014年05期

【摘要】：目的探讨发声训练对声带小结患者的疗效。方法对65例声带小结患者进行3个月的发声训练,治疗前后进行动态喉镜检查,以声带小结消失为治愈标准,应用中文版嗓音障碍指数量表(voice handicap index,VHI)评估患者治疗前后主观嗓音障碍,记录功能(F)、生理(P)、情感(E)得分并计算总分(T)。应用德国IXON公司的DiVAS嗓音软件分析治疗前后患者的最长发声时间(maximum phonation time,MPT)、基频微扰(jitter)、最高基频(highest frequency,F0-High)、最低音强(lowest intensity,I-Low),计算嗓音障碍严重指数(dysphonia severity index,DSI),评估患者治疗前后客观嗓音障碍程度。结果 65例声带小结患者中18例退出治疗,完成治疗的47例治疗前后声带振动幅度、对称性、周期性正常,9例治疗前声门闭合不全者治疗后7例声门闭合良好;47例中治愈26例(55.32%,26/47)。患者治疗前VHI评估F、P、E、T均值分别为9.66±7.05、17.60±9.26、8.06±8.55、34.04±22.91,治疗后分别为6.13±5.34、12.45±7.80、5.17±6.13、23.60±17.17,治疗后较治疗前改善(P0.01)。治疗前MPT 16.66±3.56s、jitter 1.32%±0.68%、F0-High 395.98±49.26Hz、I-Low56.70±3.56dB、DSI 0.39±1.10,治疗后MPT 18.47±3.69s、jitter 1.09%±0.39%、F0-High 415.11±44.71Hz、I-Low 54.70±3.30dB、DSI 1.51±0.84,治疗后较治疗前改善(P0.01)。结论发声训练对声带小结患者嗓音质量改善有一定作用。
[Abstract]:Objective to investigate the effect of vocal training on vocal nodules. Methods 65 patients with vocal cord nodules underwent 3 months vocal training. Dynamic laryngoscopy was performed before and after treatment. The voice handicap index (VHI) was used to evaluate the subjective voice disorders before and after treatment. The DiVAS voice software of IXON was used to analyze the maximum phonation time MPTT, the pedal frequency perturbation, the highest frequency F0-high, the lowest intensity intensityn I-Lown before and after treatment, and to calculate the voice severity index, dysphonia severity indexDSII, and evaluate the patients before and after treatment. Look at the degree of voice disorders. Results of 65 patients with vocal cord nodules, 18 withdrew from the treatment, 47 completed the treatment before and after treatment of vocal cord vibration amplitude, symmetry, periodic normal in 9 cases before and after treatment of glottis closure in 9 cases of 7 cases of good glottic closure after treatment in 47 cases, 26 cases were cured. The mean value of VHI before treatment was 9.66 卤7.05 卤17.60 卤9.26 卤8.06 卤8.55 卤34.04 卤22.91, respectively, and that after treatment was 6.13 卤5.34 12.45 卤7.805.17 卤6.13 卤23.60 卤17.17 respectively. Before treatment, MPT was 16.66 卤3.56 sjitter 1.32% 卤0.68%, F0-High was 395.98 卤49.26 Hz / L and DSI was 0.39 卤1.10, MPT 18.47 卤3.69 sjitter 1.09% 卤0.39% 卤0.39sjitter was 415.11 卤44.71Hzn I-Low 54.70 卤3.30dBU DSI 1.51 卤0.84respectively, which was better than that before treatment. Conclusion vocal training can improve vocal quality in patients with vocal nodules.
【作者单位】：浙江省金华市中心医院耳鼻咽喉科;
【基金】：浙江省科技厅项目(2011C23129) 金华市科技局重点项目(2011-3-009)
【分类号】：R767.4

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