山东大学耳鼻喉眼学报 ›› 2021, Vol. 35 ›› Issue (3): 54-58.doi: 10.6040/j.issn.1673-3770.0.2020.407

• 临床研究 • 上一篇    下一篇

嗓音训练应用于声带息肉术后的效果评价

马亦飞1,喻国冻1,鲜志芃1,何星辰1,顾萍1,陈自力2   

  1. 1. 贵州医科大学附属医院 耳鼻咽喉科, 贵州 贵阳 550004;
    2. 贵州医科大学附属医院 肝胆外科, 贵州 贵阳 550004
  • 发布日期:2021-05-14
  • 通讯作者: 马亦飞. E-mail:84309348@qq.com

Evaluation of the effect of voice training on vocal cord polyp surgery

MA Yifei1, YU Guodong1, XIAN Zhipeng1, HE Xingchen1, GU Ping1, CHEN Zili2   

  1. 1. Department of Otolaryngology, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, China;
    2. Department of Hepatobiliary Surgery, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, China
  • Published:2021-05-14

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摘要： 目的 探讨嗓音训练应用于声带息肉术后的疗效。 方法 选取92例接受声带息肉切除术患者作为研究对象,所有患者随机分为实验组(n=46)与对照组(n=46)两组。两组患者均行喉显微声带息肉切除术,对照组术后给予金嗓散结丸口服治疗4周,实验组在对照组基础上术后1周起联合嗓音训练治疗3周,术后4周两组同时结束治疗。比较两组患者治疗前后嗓音障碍指数(VHI)评分及嗓音声学参数值。 结果 脱落病例6例,86例完成研究。治疗前实验组与对照组VHI评分及嗓音声学参数值差异无统计学意义(P>0.05);治疗后两组VHI评分及嗓音声学参数值较治疗前均改善(P<0.001);治疗后实验组较对照组VHI评分及嗓音声学参数值显著改善。 结论 嗓音训练可促进声带术后功能恢复,提高嗓音质量,疗效显著。

关键词: 嗓音训练, 声带息肉手术, 声带功能, 嗓音, 疗效

Abstract: Objective To explore the effect of voice training on vocal cord polyps after surgery. Methods Ninety-two patients who had undergone vocal polypectomy in the department of otolaryngology of the Affiliated Hospital of Guizhou Medical University between September 2019 and March 2020 were selected as the research subjects. All the subjects were randomly allocated to the experimental(n=46)and control (n=46)groups. Laryngeal microvocal polypectomy was performed in both groups. The patients in the control group received oral treatment with Jinsang Sanjiewan for 4 weeks after surgery. The experimental group received a combination treatment, including voice training for 3 weeks after 1 week after surgery. The treatments were completed simultaneously in both groups 4 weeks after surgery. The VHI score and voice acoustic parameters of the two groups before and after treatment were compared. Results Six patients did not complete the study; 86 did. There were no significant differences between the VHI scores and voice acoustic parameters of the experimental and control groups before treatment(P>0.05). The VHI scores and the voice acoustic parameters of the two groups improved after treatment(P<0.001). After treatment, the VHI scores and voice acoustic parameters of the experimental group significantly improved compared with those of the control group. Conclusion Voice training can significantly promote functional recovery after vocal cord surgery and voice quality.

Key words: Voice training, Vocal cord polyp surgery, Vocal cord function, Voice, Curative effect

中图分类号: 

  • R767.92
[1] 尤慧华, 诸葛盼, 王翰青, 等. 声带息肉患者的主客观嗓音评估特征[J]. 听力学及言语疾病杂志, 2016, 24(1): 85-87. doi:10.3969/j.issn.1006-7299.2016.01.021.
[2] Lin YH, Wang CT, Lin FC, et al. Treatment outcomes and adverse events following in-office angiolytic laser with or without concurrent polypectomy for vocal fold polyps[J]. JAMA Otolaryngol Head Neck Surg, 2018, 144(3): 222-230. doi:10.1001/jamaoto.2017.2899.
[3] 郝艳, 李栋才, 蓝建平. CO2激光显微手术与传统显微手术切除声带息肉疗效比较[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 68-70. doi:10.6040/j.issn.1673-3770.0.2017.034. HAO Yan, LI Dongcai, LAN Jianping. Comparison of the curative effect of CO2 laser microsurgery and conventional microsurgery for vocal polyp resec- tion[J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 68-70. doi:10.6040/j.issn.1673-3770.0.2017.034.
[4] 秦辉. 支撑喉镜和纤维喉镜下声带息肉切除术疗效分析[J]. 中国耳鼻咽喉头颈外科, 2016,23(8): 487-489. doi:10.16066/j.1672-7002.2016.08.012. QIN Hui. Clinical effects of vocal cord polyp surgery under micro-laryngoscope and fiberoptic laryngoscope[J]. Chin Arch Otolaryngol-Head Neck Surg, 2016, 23(8): 487-489. doi:10.16066/j.1672-7002.2016.08.012.
[5] 汤苏成, 王跃建, 陈伟雄, 等. 声带息肉和小结术后发声障碍患者嗓音训练疗效观察[J]. 听力学及言语疾病杂志, 2017, 25(2): 200-202. doi:10.3969/j.issn.1006-7299.2017.02.018.
[6] 罗轶, 阚丹, 周琦, 等. 嗓音训练在发声不当所致嗓音疾病患者中的疗效[J]. 广西医学, 2020, 42(11): 1354-1357,1372. doi:10.11675/j.issn.0253-4304.2020.11.05. LUO Yi, KAN Dan, ZHOU Qi, et al. Efficacy of voice training for patients with voice disorders caused by improper vocalization[J]. Guangxi Med J, 2020, 42(11): 1354-1357,1372. doi:10.11675/j.issn.0253-4304.2020.11.05.
[7] 韩德民, Sataloff RT, 徐文. 嗓音医学[M]. 2版. 北京: 人民卫生出版社, 2017: 203-205.
[8] 刘阳, 黄永望, 潘静, 等. 四步训练嗓音矫治法在声带息肉术后的应用及体会[J]. 中国中西医结合耳鼻咽喉科杂志, 2019, 27(4): 259-263. doi:10.16542/j.cnki.issn.1007-4856.2019.04.005. LIU Yang, HUANG Yongwang, PAN Jing, et al. Application of four steps method about voice therapy on patients with vocal polyps after surgery[J]. Chin J Otorhinolaryngol Integr Med, 2019, 27(4): 259-263. doi:10.16542/j.cnki.issn.1007-4856.2019.04.005.
[9] 于萍. 发声训练在嗓音疾病治疗中的价值[J]. 中国中西医结合耳鼻咽喉科杂志, 2019, 27(4): 241-245. doi:10.16542/j.cnki.issn.1007-4856.2019.04.001.
[10] 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. doi:10.3321/j.issn: 1673-0860.2008.09.008. 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 Surg, 2008, 43(9): 670-675. doi:10.3321/j.issn: 1673-0860.2008.09.008.
[11] 沈敏, 屈季宁, 姜义道. 客观嗓音分析比较CO2激光术与传统剥脱术治疗声带白斑患者的疗效[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 67-70. doi:10.60640/j.issn.1673-3770.0.2019.349. SHEN Min, QU Jining, JIANG Yidao. Evaluation the efficacy of a CO2 laser and traditional exfoliation in the treatment of vocal cord leukoplakia by using objective voice analysis[J]. J Otolaryngol Ophthalmol Shandong Univ, 2020, 34(1): 67-70. doi:10.60640/j.issn.1673-3770.0.2019.349.
[12] Vasconcelos D, Gomes AOC, Araújo CMT. Vocal fold polyps: literature review[J]. Int Arch Otorhinolaryngol, 2019, 23(1): 116-124. doi:10.1055/s-0038-1675391.
[13] 欧阳杰, 黄永望, 高晓葳, 等. 手术联合围手术期嗓音训练治疗声带息肉的疗效分析[J]. 听力学及言语疾病杂志, 2018, 26(5): 492-495. doi:10.3969/j.issn.1006-7299.2018.05.010. OUYANG Jie, HUANG Yongwang, GAO Xiaowei, et al. The clinical efficacy of voice training on patients with vocal cord polyps during perioperative period[J]. J Audiol Speech Pathol, 2018, 26(5): 492-495. doi:10.3969/j.issn.1006-7299.2018.05.010.
[14] 屈凤勤, 李海霞, 李梅生, 等. 声带息肉围手术期嗓音训练的临床疗效分析[J]. 中国耳鼻咽喉头颈外科, 2017,24(3): 156-158. doi:10.16066/j.1672-7002.2017.03.012. QU Fengqin, LI Haixia, LI Meisheng, et al. Clinical efficacy of voice training in the perioperative period of vocal cord polyp[J]. Chin Arch Otolaryngol-Head Neck Surg, 2017,24(3): 156-158. doi:10.16066/j.1672-7002.2017.03.012.
[15] Sahin M, Gode S, Dogan M, et al. Effect of voice therapy on vocal fold polyp treatment[J]. Eur Arch Otorhinolaryngol, 2018, 275(6): 1533-1540. doi:10.1007/s00405-018-4962-z.
[16] Barillari MR, Volpe U, Mirra G, et al. Surgery or rehabilitation: a randomized clinical trial comparing the treatment of vocal fold polyps via phonosurgery and traditional voice therapy with “voice therapy expulsion” training[J]. J Voice, 2017, 31(3): 379.e13-379.e20. doi:10.1016/j.jvoice.2016.07.002.
[17] 诸葛盼, 尤慧华, 王翰青, 等. 嗓音治疗对声带息肉患者嗓音显微手术后的疗效观察[J]. 中华全科医学, 2016,14(8): 1275-1278. doi:10.16766/j.cnki.issn.1674-4152.2016.08.010. ZHUGE Pan, YOU Huihua, WANG Hanqing, et al. The clinical effectiveness of voice therapy on patients with vocal cord polyps after phonomicrosurgery[J]. Chin J Gen Pract, 2016,14(8): 1275-1278. doi:10.16766/j.cnki.issn.1674-4152.2016.08.010.
[18] Petrovic-Lazic M, Jovanovic N, Kulic M, et al. Acoustic and perceptual characteristics of the voice in patients with vocal polyps after surgery and voice therapy[J]. J Voice, 2015, 29(2): 241-246. doi:10.1016/j.jvoice.2014.07.009.
[19] Zhuge P, You HH, Wang HQ, et al. An analysis of the effects of voice therapy on patients with early vocal fold polyps[J]. J Voice, 2016, 30(6): 698-704. doi:10.1016/j.jvoice.2015.08.013.
[20] 黄永望, 傅德慧, 潘静. 实用临床嗓音疾病矫治学[M]. 天津: 天津科技翻译出版有限公司, 2018: 337-393.
[21] 林玲玲, 林少雄, 程耿斌, 等. 声带息肉术后嗓音训练配合中医针药治疗的疗效观察[J]. 中国医药科学, 2016, 6(8): 12-14. LIN Lingling, LIN Shaoxiong, CHENG Gengbin, et al. Effect of vocal training combined with traditional Chinese acupuncture and medicine in the patients after vocal cord polyp resection surgeries[J]. China Med Pharm, 2016, 6(8): 12-14.
[22] Agarwal J, Wong A, Karle W, et al. Comparing short-term outcomes of surgery and voice therapy for patients with vocal fold polyps[J]. Laryngoscope, 2019, 129(5): 1067-1070. doi:10.1002/lary.27697.
[23] 陈志鹏, 熊姗姗, 李美丽, 等. 声带显微手术后发声功能恢复和嗓音训练时间的初步探讨[J]. 中国医学创新, 2015, 12(16): 39-41. doi:10.3969/j.issn.1674-4985.2015.16.014. CHEN Zhipeng, XIONG Shanshan, LI Meili, et al. Preliminary study on functional recovery and voice training time after microsurgical operation of vocal cords[J]. Med Innov China, 2015, 12(16): 39-41. doi:10.3969/j.issn.1674-4985.2015.16.014.
[24] 刘一贞, 秦勇, 李嘉, 等. 声带显微微瓣手术后发声功能恢复和嗓音训练时间的分析[J]. 延安大学学报(医学科学版), 2016, 14(2): 41-43. doi:10.3969/j.issn.1672-2639.2016.02.013. LIU Yizhen, QIN Yong, LI Jia, et al. Analyzing time of functional recovery and vocal training after phonomicrosurgery[J]. J Yanan Univ Med Sci, 2016, 14(2): 41-43. doi:10.3969/j.issn.1672-2639.2016.02.013.
[25] 洪拥军, 徐新林, 林生智, 等. 声带显微微瓣手术后发声功能恢复和嗓音训练时间的初步探讨[J]. 听力学及言语疾病杂志, 2012, 20(5): 417-419. doi:10.3969/j.issn.1006-7299.2012.05.003. HONG Yongjun, XU Xinlin, LIN Shengzhi, et al. The observation of vocal polyp by phonomicrosurgery and vocal fold recovery[J]. J Audiol Speech Pathol, 2012, 20(5): 417-419. doi:10.3969/j.issn.1006-7299.2012.05.003.
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