阿克森疗法对声带息肉术后嗓音恢复的疗效探讨

doi:10.6040/j.issn.1673-3770.0.2014.125

摘要/Abstract

摘要： 目的观察阿克森疗法对声带息肉术后嗓音功能恢复的临床效果.方法经电子喉镜检查并在支撑喉镜下显微镜术后病理组织学检查结果证实为声带息肉患者60例,按随机数字表法随机将病例分为2组,治疗组在术后行常规护理的基础上加阿克森疗法进行嗓音恢复治疗;对照组在术后仅行常规护理治疗.随访1年后,有完整嗓音资料的治疗组18例,对照组20例,将对两组在3个月及1年后均行嗓音障碍指数(VHI)评估.结果治疗组和对照组在3个月和1年的有效率差异均有统计学意义(P<0.05),有效率比较差异随时间延长有正相关性.结论阿克森疗法对声带息肉术后嗓音功能恢复疗效确切并且方便, 适合在声带息肉术后恢复中推广阿克森疗法以防止复发.

关键词: 阿克森疗法, 嗓音障碍指数, 声带息肉

Abstract: Objective To evaluate the therapeutic effects of vocal polyp surgery combined with akson therapy. Methods Clinical data of 60 vocal cord polyp patients undergoing surgery under self-retaining laryngoscope were randomly divided into treatment and control groups, in which akson therapy was applied for 3 months in the treatment group and not for the control group. The VHI testing were performed 3 months and one year after the treatment, including 18 patients of treatment group and 20 patients of control group. Results The effective rates of the treatment group were higher than those of control group 3 months and 1 year after the treatment (P<0.05). Conclusion Due to low cost and simplicity, akson therapy may be better choice for voice recovery after vocal polyp surgery.

Key words: Voice handicap index, Polyp of vocal cord, Akson therapy

中图分类号:

R767.92

陈闽琪, 彭文静, 陈舒华. 阿克森疗法对声带息肉术后嗓音恢复的疗效探讨[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 61-64.

CHEN Min-qi, PENG Wen-jing, CHEN Shu-hua. Evaluation of akson therapy after vocal polyp surgery[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 61-64.

参考文献

[1] 丁国玉,廖晓松,余力生. 声带小结和声带息肉的组织病理学研究[J]. 临床耳鼻喉科杂志,2002, 16(3):102-103. DING Guoyu, LIAO Xiaosong, YU Lisheng. Pathological studies of vocal polyps and vocal nodes[J]. J Clin Otorhinolaryngol, 2002, 16(3):102-103.
[2] 赵亮,谢红,周晓红.鼻内镜联合支撑喉镜切除声门暴露困难的声带息肉[J].中国微创外科杂志,2012,12(4):354-355. ZHAO Liang, XIE Hong, ZHOU Xiaohong. Nasal endoscopy combined with self-retaining laryngoscopy for vocal cord polyps in difficult laryngeal exposure[J]. Chin J Min Inv Surgery, 2012, 12(4):354-355.
[3] 苏俊波,洛文龙.支撑喉镜术中注射地塞米松预防声带息肉、小结复发的临床研究[J].重庆医学,2007,36(1):63-64. SU Junbo, LUO Wenlong. Preliminary clinical study of dexamethasone on prevention relapse of polyp and nodules of vocal cord in microlaryngoscopic surgery under suspension laryngoscope[J].Chongqing Med, 2007, 36(1):63-64.
[4] 杨式麟.嗓音医学基础与临床[M].沈阳:辽宁科学技术出版社,2001:157.
[5] 徐文,李红艳,胡蓉,等.嗓音障碍指数量表中文版信度和效度评价[J].中华耳鼻咽喉头颈外科杂志,2008,43(9):670-675. XU Wen, LI Hongyan, HU Rong, et al. Analysis of reliability and validity of the chinese version of voice handicap index (VHI)[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2008, 43(9):670-675.
[6] 朱德姝.显微支撑喉镜下与间接喉镜下声带息肉手术疗效对比分析[J].中国卫生产业,2012,14:154. ZHU Deshu. Comparison of curative effect of micro laryngoscope and indirect laryngoscopy for treatment of vocal cord polyp[J]. Chin Health Ind, 2012,14:154.
[7] 杨改英.声带息肉复发的原因分析[J].中国中医药现代远程教育,2009,7(8):216. YANG Gaiying. Reason on relapse of polyp of vocal cord[J]. Chin Med Modern Dis Edu, 2009, 7(8):216.
[8] 陈欣.声带小结、息肉术后复发原因分析[J].蚌埠医学院学报,2004,3(2):171. CHEN Xin. Reason on relapse of polyp of vocal cord under laryngoscope surgery[J]. J Bengbu Med Coll, 2004, 3(2):171.
[9] 魏春生,张天宇,蒋塞琪.嗓音医学概述[J].听力学及言语疾病杂志,2008,16(4):278-279. WEI Chunsheng, ZHANG Tianyu, JIANG Saiqi. Summary of voice medicine[J]. J Audiol Spee Pathol, 2008, 16(4):278-279.
[10] Ramig L O, Verdolini K. Treatment efficacy:voice disorder[J].J Speech Lang Hear Res, 1998, 41(1):101-116.
[11] Miller S.Voice therapy for vocalfold paralysis[J].Ololarygol clin North Am,2004, 37(1):105-119.
[12] 蒋家琪,舒敏,张毅,等.嗓音疾病的行为学治疗——言语训练[J].中国眼耳鼻喉科杂志,2012,12(1):2-5. JIANG Jiaqi, SHU Min, ZHANG Yi, et al. Speech training of voice disease[J]. Chin Ophthalmol Otorhinolaryngol, 2012, 12(1):2-5.
[13] 张念祖,夏立军,刘俊杰,等.发声矫治临床应用初探[J].听力学及言语疾病杂志,2002,10(1):24-26. ZHANG Nianzu, XIA Lijun, LIU Junjie, et al. Clinical application of voice therapy[J]. J Audiol Speech Pathol, 2002, 10(1):24-26.
[14] 周红宇,屈季宁.嗓音声学分析和电声门图在声带息肉手术疗效评估中的应用[J].武汉大学学报:医学版,2008,29(5):661-662. ZHOU Hongyu, QU Jining. Application of voice acoustic analysis and electroglottography in polypectomy of vocal cords[J]. Med J Wuhan University, 2008, 29(5):661-662.
[15] Jacobson B H, Johnson A, Grywalski C, et al. The Voice Handicap Index(VHI):development and validation[J].Am J Speech lang Pathol, 1997, 6(3):66-70.
[16] 高洁,屈季宁.声带息肉患者的嗓音声学分析与VHI的相关性研究[J].听力学及言语疾病杂志,2010,18(3):246-248. GAO Jie, QU Jining. Correlation between voice handicap index(VHI)and voice acoustic analysis in patients with vocal cord polyps[J]. J Audiol Speech Pathol, 2010, 18:246.
[17] 李红艳,徐文,韩德民,等.嗓音疾病自我评估特点及影响因素[J].中华耳鼻咽喉头颈外科杂志,2009,44(2):109-113. LI Hongyan, XU Wen, HAN Demin, et al. Self-assessment characteristics of voice handicap index for voice disorders and its influencing factors[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2009, 44(2):109-113.

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