摘要
目的评价嗓音治疗对声带息肉患者嗓音显微手术后的临床疗效。方法实验组55例声带息肉患者嗓音显微手术后进行3个月嗓音治疗。动态喉镜、嗓音障碍指数量表(voice handicap index,VHI)、嗓音障碍严重指数(dysphonia severity index,DSI)评估患者手术前后主客观嗓音障碍。对照组41例声带息肉患者嗓音显微手术后未进行嗓音治疗,手术前后同样进行动态喉镜、VHI、DSI评估。应用SPSS 15.0统计软件,采用独立样本t检验比较实验组与对照组手术前及术后随访的组间VHI、DSI差异,Mann-Whitney U检验比较实验组与对照组手术前及术后随访的组间动态喉镜差异,配对样本t检验比较实验组、对照组手术前后的组内VHI、DSI差异,Wilcoxon符号秩检验比较实验组、对照组手术前后的组内动态喉镜差异,P<0.05为差异有统计学意义。结果实验组与对照组的手术前及术后随访的黏膜波、声门闭合差异均无统计学意义(P>0.05),实验组、对照组手术前后的黏膜波、声门闭合差异均有统计学意义(P<0.01)。实验组与对照组术前VHI、最长发声时间(MPT)、基频微扰(Jitter)、最高音频(F0-High)、最低声强(I-Low)、DSI等差异无统计学意义。2组术后VHI各值均较术前改善,并且实验组术后VHI各值均低于对照组。术后实验组Jitter值低于对照组。实验组术后Jitter、I-Low、DSI值均较术前改善。对照组术后Jitter、DSI值较术前改善。结论动态喉镜、VHI和DSI能够综合评估声带息肉患者嗓音显微手术前后的临床主客观嗓音障碍,嗓音治疗对患者术后的主观自我嗓音评价及发声稳定性有改善作用。
Objective To evaluate the clinical effectiveness of voice therapy on patients with vocal cord polyps after phonomicrosurgery. Methods In experimental group,there were 55 patients with vocal cord polyps after phonomicrosurgery underwent voice therapy. Laryngostroboscopy,voice handicap index（ VHI）,and dysphonia Severity Index（ DSI） were applied for evaluation of the patients＇ voice quality. In control group,no voice therapy was given to 41 patients after phonomicrosurgery. The inter-group and intra-group differences of laryngostroboscopy,VHI,and DSI were compared statistically. Results No statistical inter-group differences of mucosal wave and incomplete glottal closure were found between two groups before and after surgery. No statistical inter-group differences of values of VHI and MPT,Jitter,F0-High,ILow,DSI were found between two groups before surgery. The values of VHI improved after surgery in two groups,and the values of VHI in experimental group were all lower than those in control group after surgery. The value of Jitter in experimental group was lower than that in control group after surgery. Jitter,I-Low,and DSI improved after surgery in experimental group,but in control group Jitter and DSI got better after surgery. Conclusion Laryngostroboscopy,VHI,and DSI could assess voice quality of patients with vocal polyps comprehensively. Voice therapy could improve patients＇ self-evaluated voice quality and vocal stability after phonomicrosurgery.
出处
《中华全科医学》
2016年第8期1275-1278,共4页
Chinese Journal of General Practice
基金
浙江省科技厅项目(2011C23129)
浙江省金华市科技局重点项目(2011-3-009)
