ABCLOVE嗓音训练法对声带良性增生性病变手术患者嗓音功能的影响

doi:10.6040/j.issn.1673-3770.0.2024.622

摘要/Abstract

摘要： 目的探讨ABCLOVE嗓音训练法用于声带良性增生性病变手术患者对嗓音功能恢复的影响。方法选取声带良性增生性病变患者96例,均择期行支撑喉镜下手术,根据治疗方案分组,分为观察组(48例)、对照组(48例)。观察组术后予以ABCLOVE嗓音训练法进行发声训练治疗,对照组予以术后常规治疗。对比两组患者的临床疗效、嗓音障碍指数量表(voice handicap index, VHI)、GRBAS评分、嗓音声学分析。结果治疗后,观察组临床疗效高于对照组(P<0.05);术后1、3个月,2组VHI、GRBAS评分均有下降,且观察组下降更为明显(P<0.05);术后1、3个月,两组jitter、shimmer均有下降,观察组下降明显(P<0.05);术后1、3个月2组HNR均有升高,且观察组升高更为明显(P<0.05)。结论 ABCLOVE嗓音训练法能有效恢复声带良性增生性病变手术患者的嗓音功能,改善患者的发音问题和纠正不良的用嗓习惯,从而提高患者的生活质量。

关键词: ABCLOVE嗓音训练法, 声带良性增生性病变, 手术, 嗓音功能, 临床疗效

Abstract: Objective To explore the effect of ABCLOVE voicetraining method used in surgical patients with benign proliferative lesions of the vocal folds on the recovery of voice function. Methods 96 patients with benign hyperplastic lesions of the vocal folds were selected for elective braced laryngoscopic surgery, and were divided into an observation group(48 cases)and a control group(48 cases)according to the treatment plan. The observation group was treated with ABCLOVE voice training method for postoperative vocal training, and the control group was treated with postoperative conventional treatment. The clinical efficacy, voice handicap index(VHl), voice hoarseness assessment(GRBAS)and voice acoustic analysis were compared between the two groups. Results After treatment, the clinical efficacy of the observation group was higher than that of the control group(P<0.05); 1 and 3 months after surgery, the VHl and GRBAS scores of the 2 groups decreased, and the decrease in the observation group was more obvious(P<0.05); 1 and 3 months after surgery, the jitter and the shimmer of the 2 groups decreased, and the decrease in the observation group was more obvious(P<0.05); 1 and 3 months after surgery, the HNR of the 2 groups increased. HNR were elevated in both groups, and the elevation was more obvious in the observation group(P<0.05). Conclusion ABCLOVE voice training method can effectively restore the voice function of surgical patients with benign proliferative lesions of the vocal folds, improve their articulation problems and correct bad voice habits, thus improving their quality of life.

Key words: ABCLOVE voice training method, Benign proliferative lesions of vocal cords, Operation, Voice function, Clinical efficacy

中图分类号:

R767.92

邹嵩,许保源,张金星,陈巧婷,李健祥. ABCLOVE嗓音训练法对声带良性增生性病变手术患者嗓音功能的影响[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 32-37.

ZOU Song, XU Baoyuan, ZHANG Jinxing, CHEN Qiaoting, LI Jianxiang. The effect of ABCLOVE voice training method on voice function in patients undergoing surgery for benign proliferative lesions of the vocal cords[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(3): 32-37.

参考文献

[1] Ren QW, Lei G, Zhao YL, et al. Laryngopharyngeal reflux and benign vocal fold lesions: a systematic review and meta-analysis[J]. Otolaryngol-head Neck Surg, 2024, 170(2): 309-319. doi:10.1002/ohn.529
[2] 周明朗, 柴伟, 黄辉, 等. 显微支撑喉镜手术治疗声带息肉的疗效[J]. 中国医师杂志, 2024, 26(1): 125-128. doi: 10.3760/cma.j.cn431274-20230217-00171 ZHOU Minglang,CAI Wei, HUANG Hui, et al. Therapeutic efficacy of microscopic suspension laryngoscopy in vocal cord polyp surgery[J]. Journal of Chinese Physician, 2024, 26(1): 125-128. doi: 10.3760/cma.j.cn431274-20230217-00171
[3] 汪李琴, 郭硕, 周涵, 等. ABCLOVE嗓音训练法改善早期喉癌等离子消融术后患者嗓音功能的效果观察[J]. 现代生物医学进展, 2024, 24(10): 1916-1920. doi:10.13241/j.cnki.pmb.2024.10.024 WANG Liqin, GUO Shuo, ZHOU Han, et al. To observe the effect of ABCLOVE voice training method on improving the pronunciation function of patients with early laryngeal cancer after vocal cord surgery[J]. Progress in Modern Biomedicine, 2024, 24(10): 1916-1920. doi:10.13241/j.cnki.pmb.2024.10.024
[4] 吴辉, 李革临. Lessac-Madsen共鸣嗓音疗法对声带良性增生性病变患者术后嗓音功能的影响[J]. 听力学及言语疾病杂志, 2021, 29(2): 162-167. doi:10.3969/j.issn.1006-7299.2021.02.011 WU Hui, LI Gelin. Effects of lessac-madsen resonant voice therapy on voice function of patients after microscopy supported laryngoscope resection of vocal cord lesions[J]. Journal of Audiology and Speech Pathology, 2021, 29(2): 162-167. doi:10.3969/j.issn.1006-7299.2021.02.011
[5] Tafiadis D, Helidoni ME, Chronopoulos SK, et al. ROC analysis cut-off points of Hellenic voice handicap index for neurogenic voice disorders patients: an exploratory study[J]. J Voice, 2022, 36(6): 875. doi:10.1016/j.jvoice.2020.09.008
[6] 代伟林, 杜晓辉, 屈季宁, 等. 单侧声带囊肿与声带息肉患者手术前后嗓音声学的对比研究[J]. 听力学及言语疾病杂志, 2023, 31(1): 65-67. doi:10.3969/j.issn.1006-7299.2023.01.014 DAI Weilin, DU Xiaohui, QU Jining, et al. Journal of Audiology and Speech Pathology, 2023, 31(1): 65-67. doi:10.3969/j.issn.1006-7299.2023.01.014
[7] 田宏, 宋建涛, 赵海军, 等. 渭南市中小学教师声带良性增生性病变患病率调查及影响因素分析[J]. 贵州医药, 2022, 46(11): 1766-1768. doi:10.3969/j.issn.1000-744X.2022.11.051 TIAN Hong, SONG Jiantao, ZHAO Haijun, et al. Guizhou Medical Journal, 2022, 46(11): 1766-1768. doi:10.3969/j.issn.1000-744X.2022.11.051
[8] 张建军, 汪家东, 陈晨. 支撑喉镜辅助等离子手术对声带息肉患者嗓音质量、疼痛介质及预后的影响[J]. 解放军医药杂志, 2021, 33(6): 83-87. doi:10.3969/j.issn.2095-140X.2021.06.018 ZHANG Jianjun, WANG Jiadong, CHEN Chen. Effects of plasma surgery assisted by self-retaining laryngoscope on voice quality, pain mediators and prog-noses of patients with vocal cord polyps[J]. Medical & Pharmaceutical Journal of Chinese People's Liberation Army, 2021, 33(6): 83-87. doi:10.3969/j.issn.2095-140X.2021.06.018
[9] White AC, Carding P. Pre- and postoperative voice therapy for benign vocal fold lesions: factors influencing a complex intervention[J]. J Voice, 2022, 36(1): 59-67. doi:10.1016/j.jvoice.2020.04.004
[10] 闫燕, 段静明, 王丽, 等. 嗓音训练治疗声带小结的疗效观察[J]. 听力学及言语疾病杂志, 2012, 20(6): 541-543. doi:10.3969/j.issn.1006-7299.2012.06.009 YAN Yan, DUAN Jingming, WANG Li, et al. The effectiveness of observation voice training in patients with vocal nodules[J]. Journal of Audiology and Speech Pathology, 2012, 20(6): 541-543. doi:10.3969/j.issn.1006-7299.2012.06.009
[11] 王璐, 赵大庆, 崔鹏程, 等. 嗓音康复治疗在甲状腺癌术后声带麻痹患者中的临床应用[J]. 中国听力语言康复科学杂志, 2022, 20(1): 20-23. doi:10.3969/j.issn.1672-4933.2022.01.006 WANG Lu, ZHAO Daqing, CUI Pengcheng, et al. Clinical application of voice rehabilitation therapy to patients with vocal cord paralysis after thyroid cancer surgery[J]. Chinese Scientific Journal of Hearing and Speech Rehabilitation, 2022, 20(1): 20-23. doi:10.3969/j.issn.1672-4933.2022.01.006
[12] 王小琴, 朴美兰, 魏凡竣. 半封闭声道嗓音训练治疗教师声带小结的临床研究[J]. 听力学及言语疾病杂志, 2022, 30(6): 648-651. doi:10.3969/j.issn.1006-7299.2022.06.018 WANG Xiaoqin, PIAO Meilan, WEI Fanjun. Journal of Audiology and Speech Pathology, 2022, 30(6): 648-651. doi:10.3969/j.issn.1006-7299.2022.06.018
[13] 王静妙, 边艳蕊, 张海中, 等. 围手术期嗓音训练治疗声带任克水肿的疗效分析[J]. 听力学及言语疾病杂志, 2023, 31(5): 461-463. doi:10.3969/j.issn.1006-7299.2023.05.014 WANG Jingmiao, BIAN Yanrui, ZHANG Haizhong, et al. Journal of Audiology and Speech Pathology, 2023, 31(5): 461-463. doi:10.3969/j.issn.1006-7299.2023.05.014
[14] 王璐, 赵大庆, 任盼, 等. ABCLOVE嗓音训练法改善儿童声带小结发音功能的临床观察[J]. 中国听力语言康复科学杂志, 2022, 20(1): 16-19. doi:10.3969/j.issn.1672-4933.2022.01.005 WANG Lu, ZHAO Daqing, REN Pan, et al. Clinical application of ABCLOVE voice rehabilitation therapy to the improvement of vocal function of children with vocal nodules[J]. Chinese Scientific Journal of Hearing and Speech Rehabilitation, 2022, 20(1): 16-19. doi:10.3969/j.issn.1672-4933.2022.01.005
[15] 高颖, 辛利萍, 何鹏飞, 等. 基于跨理论模型的个案管理在声带息肉病人嗓音训练中的应用[J]. 护理研究, 2023, 37(17): 3175-3179. doi:10.12102/j.issn.1009-6493.2023.17.024 GAO Ying, XIN Liping, HE Pengfei, et al. Application of case management based on transtheoretical model in voice training of patients with vocal cord polyps[J]. Chinese Nursing Research, 2023, 37(17): 3175-3179. doi:10.12102/j.issn.1009-6493.2023.17.024

相关文章 15

[1]	张国民,王茂华,高松,吴文斌,虞幼军. 持续灌流模式耳内镜下粘连性中耳炎手术疗效分析[J]. 山东大学耳鼻喉眼学报, 2026, 40(3): 16-19.
[2]	孙庆祝,沈健,陈星,吴雁冰,曾论. 代谢指标在预测糖尿病性黄斑水肿患者雷珠单抗疗效中的作用[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 74-81.
[3]	卢朝阳, 翟兆雪, 王慧康, 邵丽婷, 张宇. 新冠肺炎治疗引发糖尿病酮症酸中毒合并鼻眶脑型毛霉菌病1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 90-94.
[4]	高娟娟,许嘉,陈雯婧,梁思超,郭振平,陈俊言,郭翔,伊海金. 保留面神经功能的面神经鞘瘤次全切除手术治疗[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 8-16.
[5]	刘玉柱,陈尧,苑铁君,李春森,李波. 喉纤维肉瘤1例并相关文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 133-137.
[6]	陈涛,姜洋,李莹. SMILE矫正PRK术后屈光回退1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 148-153.
[7]	刘怡君,谷悦,官大宇,杨玉成,沈暘. 翼管神经切断术在难治性变应性鼻炎中远期临床疗效和安全性[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 42-48.
[8]	黄旗,邓旭雯,王佩佩,陈烨群,古学军. 基于EyeSi手术模拟器评估眼科医师白内障手术水平[J]. 山东大学耳鼻喉眼学报, 2025, 39(5): 83-88.
[9]	王再兴,唐志元,李定波,石照辉,曾宪海,张秋航. 鼻咽癌放疗后肿瘤复发及颅底骨坏死引起颈内动脉破裂的治疗方案[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 49-58.
[10]	孙芳,谢楚波,邱前辉. 营养指标对鼻咽癌放射性颅底坏死患者创面修复影响的回顾性分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 59-68.
[11]	姜知临,朱瑞楷,邱前辉. 基于影像学对咽旁颈内动脉走行的观察与分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 69-76.
[12]	吴家荣,邱前辉. 颅底筋膜组织在早期复发性鼻咽癌内镜手术中的临床意义[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 108-113.
[13]	郭荣昌,刘晴航,王洪增,孙树军. 巨大鼻眼贯通、颅底嵌顿异物损伤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 135-141.
[14]	张中华,王辉,王俊鑫,张美玲,张建,张恩东,潘新良. 腋窝入路腔镜手术和传统颈部开放手术治疗T1甲状腺癌的安全性和有效性对比研究[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 161-167.
[15]	顾月龙,唐如,茆松,张维天. 术后GH与IGF-1水平对非侵袭性垂体生长激素腺瘤远期缓解的预测价值[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 45-50.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed