听力学及言语疾病杂志
聽力學及言語疾病雜誌
은역학급언어질병잡지
JOURNAL OF AUDIOLOGY AND SPEECH PATHOLOGY
2015年
3期
265-268
,共4页
岑瑞祥%万浪%彭聪%马晶%黄福樱
岑瑞祥%萬浪%彭聰%馬晶%黃福櫻
잠서상%만랑%팽총%마정%황복앵
声带小结%发声训练%嗓音障碍指数
聲帶小結%髮聲訓練%嗓音障礙指數
성대소결%발성훈련%상음장애지수
Vocal nodule%Voice therapy%Voice handicap index(VHI)
目的：研究发声训练联合金嗓散结丸治疗声带小结的疗效。方法将146例声带小结患者随机分为A、B、C三组，A组45例，口服金嗓散结丸治疗，B组47例，单纯接受发声训练；C组54例，接受发声训练及口服金嗓散结丸治疗，疗程均为1月，所有患者在初次就诊时及治疗1月后进行嗓音障碍指数（voice handicap index ， VHI）量表评估、嗓音声学检测和电子喉镜检查，比较各组的疗效。结果治疗1月后所有患者VHI得分、基频微扰（jitter）、振幅微扰（shimmer）、标准化噪声能量（normalized noise energy ，NNE）低于治疗前，最大发声时间（maxi‐mum phonatory time ，MPT）高于治疗前，且三组间差异有统计学意义（P＜0．05）；C组VHI得分（3．64±2．12分）、jitter（0．30％±0．08％）、shimmer（1．41％±0．31％）、NNE（－16．83±5．84 dB）低于A组（分别为7．39±2．56分、0．38％±0．12％、1．78％±0．41％、－13．38±4．42 dB ）和B组（分别为23．6±12．5分、0．48％±0．18％、1．98％±0．42％、－9．42±3．82 dB ）；C组M P T （18．87±3．38 s ）及治愈率（93．48％）高于A组（16．38±3．11 s、80．49％）和B组（14．98±3．28 s ，52．38％）（P＜0．05）；A组VHI得分、jitter、shimmer、NNE低于B组，MPT及治愈率高于B组（P＜0．05）。结论发声训练联合金嗓散结丸治疗声带小结的疗效较单纯发声训练或单纯药物治疗效果更佳。
目的：研究髮聲訓練聯閤金嗓散結汍治療聲帶小結的療效。方法將146例聲帶小結患者隨機分為A、B、C三組，A組45例，口服金嗓散結汍治療，B組47例，單純接受髮聲訓練；C組54例，接受髮聲訓練及口服金嗓散結汍治療，療程均為1月，所有患者在初次就診時及治療1月後進行嗓音障礙指數（voice handicap index ， VHI）量錶評估、嗓音聲學檢測和電子喉鏡檢查，比較各組的療效。結果治療1月後所有患者VHI得分、基頻微擾（jitter）、振幅微擾（shimmer）、標準化譟聲能量（normalized noise energy ，NNE）低于治療前，最大髮聲時間（maxi‐mum phonatory time ，MPT）高于治療前，且三組間差異有統計學意義（P＜0．05）；C組VHI得分（3．64±2．12分）、jitter（0．30％±0．08％）、shimmer（1．41％±0．31％）、NNE（－16．83±5．84 dB）低于A組（分彆為7．39±2．56分、0．38％±0．12％、1．78％±0．41％、－13．38±4．42 dB ）和B組（分彆為23．6±12．5分、0．48％±0．18％、1．98％±0．42％、－9．42±3．82 dB ）；C組M P T （18．87±3．38 s ）及治愈率（93．48％）高于A組（16．38±3．11 s、80．49％）和B組（14．98±3．28 s ，52．38％）（P＜0．05）；A組VHI得分、jitter、shimmer、NNE低于B組，MPT及治愈率高于B組（P＜0．05）。結論髮聲訓練聯閤金嗓散結汍治療聲帶小結的療效較單純髮聲訓練或單純藥物治療效果更佳。
목적：연구발성훈련연합금상산결환치료성대소결적료효。방법장146례성대소결환자수궤분위A、B、C삼조，A조45례，구복금상산결환치료，B조47례，단순접수발성훈련；C조54례，접수발성훈련급구복금상산결환치료，료정균위1월，소유환자재초차취진시급치료1월후진행상음장애지수（voice handicap index ， VHI）량표평고、상음성학검측화전자후경검사，비교각조적료효。결과치료1월후소유환자VHI득분、기빈미우（jitter）、진폭미우（shimmer）、표준화조성능량（normalized noise energy ，NNE）저우치료전，최대발성시간（maxi‐mum phonatory time ，MPT）고우치료전，차삼조간차이유통계학의의（P＜0．05）；C조VHI득분（3．64±2．12분）、jitter（0．30％±0．08％）、shimmer（1．41％±0．31％）、NNE（－16．83±5．84 dB）저우A조（분별위7．39±2．56분、0．38％±0．12％、1．78％±0．41％、－13．38±4．42 dB ）화B조（분별위23．6±12．5분、0．48％±0．18％、1．98％±0．42％、－9．42±3．82 dB ）；C조M P T （18．87±3．38 s ）급치유솔（93．48％）고우A조（16．38±3．11 s、80．49％）화B조（14．98±3．28 s ，52．38％）（P＜0．05）；A조VHI득분、jitter、shimmer、NNE저우B조，MPT급치유솔고우B조（P＜0．05）。결론발성훈련연합금상산결환치료성대소결적료효교단순발성훈련혹단순약물치료효과경가。
Objective To study the efficacy of voice therapy combined with Jinsangsanjie pill in patients with vocal nodule .Methods A total of 146 patients with vocal nodes were randomly divided into three groups :45 cases in group A(single Jinsangsanjie pill therapy) ,47 cases in group B(single voice therapy) and 54 cases in group C(voice therapy combined with Jinsangsanjie pill therapy) ,30 healthy adults were as a normal control group .The treatment lasted 1 month .The results were evaluated by voice handicap index ,voice acoustic analysis and electronic laryngo‐scope which were collected before and after 1 month treatments .Results The VHI ,jitter ,shimmer and NNE of all patients were reduced while the MPT was increased after the treatment .The differences were significant (P<0 .05) .VHI 3 .64 ± 2 .12 ,jitter 0 .30% ± 0 .08% ,shimmer 1 .41% ± 0 .31% ,NNE -16 .83 ± 5 .84 dB of group C were significantly lower while MPT 18 .87 ± 3 .38 s and cure rate(93 .5% ) were significantly higher than those of in groupA(7.39±2.56,0.38% ±0.12% ,1.78% ±0.41% ,-13.38±4.42dB,16.38±3.11s,80.5% )andgroupB (23.6±12.5,0.48% ±0.18% ,1.98% ±0.42% ,-9.42±3.82dB,14.98±3.28s,52.4% )(P< 0.05).The VHI ,,jitter shimmer ,NNE of group A were significantly lower .MPT and cure rate were significantly higher than those of in group B .There were no statistical differences in each vocal indicators between group C and the normal control group (P>0 .05) .Conclusion The voice therapy combined with Jinsangsanjie pill in the treatment of vocal nodules is more efficiently ,and can improve patient’s pronunciation features .
