中国中西医结合耳鼻咽喉科杂志
中國中西醫結閤耳鼻嚥喉科雜誌
중국중서의결합이비인후과잡지
Chinese Journal of Otorhinolaryngology In Integrative Medicine
2015年
4期
295-297
,共3页
声带息肉%阿克森疗法%嗓音功能康复%疗效评估
聲帶息肉%阿剋森療法%嗓音功能康複%療效評估
성대식육%아극삼요법%상음공능강복%료효평고
Vocal cord polyp%Akson therapy%Voice function rehabilitation%Therapeutic effect evaluation
目的 评估阿克森疗法促进声带息肉术后患者嗓音功能恢复过程的效果.方法 支撑喉镜下显微手术切除声带息肉并经病理组织学确诊的患者60例,随机分为2组,每组30例. 治疗组患者术后在常规护理及术后处理基础上加行阿克森疗法3月以促进嗓音恢复治疗, 对照组患者在术后仅行常规护理及术后处理, 随访观察1年; 随访期结束时, 均行嗓音障碍指数(VHI)、GRBAS、最大发音时间(MPT)检查,分别从主、客观角度对比分析2组患者术后嗓音功能恢复程度. 结果 随访结束时,有完整嗓音资料的治疗组患者18例,对照组患者20例. 3种主客观评估方法评估结果显示,二组术后1年时的有效率差异均有统计学意义(P<0.05). 结论 阿克森疗法对声带息肉术后嗓音功能恢复具有确切效果;嗓音障碍指数、最大声时和GRBAS评估系统能同时进行嗓音功能恢复水平的主观及客观评估.
目的 評估阿剋森療法促進聲帶息肉術後患者嗓音功能恢複過程的效果.方法 支撐喉鏡下顯微手術切除聲帶息肉併經病理組織學確診的患者60例,隨機分為2組,每組30例. 治療組患者術後在常規護理及術後處理基礎上加行阿剋森療法3月以促進嗓音恢複治療, 對照組患者在術後僅行常規護理及術後處理, 隨訪觀察1年; 隨訪期結束時, 均行嗓音障礙指數(VHI)、GRBAS、最大髮音時間(MPT)檢查,分彆從主、客觀角度對比分析2組患者術後嗓音功能恢複程度. 結果 隨訪結束時,有完整嗓音資料的治療組患者18例,對照組患者20例. 3種主客觀評估方法評估結果顯示,二組術後1年時的有效率差異均有統計學意義(P<0.05). 結論 阿剋森療法對聲帶息肉術後嗓音功能恢複具有確切效果;嗓音障礙指數、最大聲時和GRBAS評估繫統能同時進行嗓音功能恢複水平的主觀及客觀評估.
목적 평고아극삼요법촉진성대식육술후환자상음공능회복과정적효과.방법 지탱후경하현미수술절제성대식육병경병리조직학학진적환자60례,수궤분위2조,매조30례. 치료조환자술후재상규호리급술후처리기출상가행아극삼요법3월이촉진상음회복치료, 대조조환자재술후부행상규호리급술후처리, 수방관찰1년; 수방기결속시, 균행상음장애지수(VHI)、GRBAS、최대발음시간(MPT)검사,분별종주、객관각도대비분석2조환자술후상음공능회복정도. 결과 수방결속시,유완정상음자료적치료조환자18례,대조조환자20례. 3충주객관평고방법평고결과현시,이조술후1년시적유효솔차이균유통계학의의(P<0.05). 결론 아극삼요법대성대식육술후상음공능회복구유학절효과;상음장애지수、최대성시화GRBAS평고계통능동시진행상음공능회복수평적주관급객관평고.
Objective To evaluate the voice rehabilitation effect promoted by Akson therapy on cases following vocal cord polyp surgically removed. Methods Sixty cases with vocal cord polyps, with their lesions removed microsurgically under self-retaining laryngoscope and diagnosed pathohistologically, were randomly divided into 2 groups following the surgery, with 30 patients in each group. Cases in treating group (TG) were given a post-operative voice rehabilitation therapy combined routine basic nursing and post-operative treatment procedures with Akson therapy for 3 months, while those in control group (CG) were only given routine treating program with basic nursing and post-operative treatment procedures. All these cases were followed up for one year after their operation. When following up period ended, they were examined to test such parameters as voice handicap index (VHI), GRBAS and maximum phonation time(MPT) for voice rehabilitation level evaluated both objectively and subjectively in a comparative way between these 2 groups. Results By the end of following up period, 18 patients in TG and 20 in CG were collected with full clinical information. As determined by both objective and subjective evaluating ways, there were significantly statistic significance in the therapeutic effect difference between TG and CG at the testing point one year following the operation, with much higher effective rate of TG than that of CG (P< 0.05). Conclusions Akson therapy is a much better voice rehabilitation therapy for voice recovery of patients following vocal cord polyp surgically removed. The voice function evaluating system, including VHI, GRBAS and MPT, can be used to assess patient's level of voice function both objectively and subjectively.
