嗓音中医开喉亮音法治疗单侧声带麻痹的临床研究

The clinical study of treating unilateral vocal cord paralysis with the traditional Chinese medicine throat opening and brightening method

尚艳华;梅祥胜;王冰;赵丹丹;刘媛媛;马潇瑶;许冬玉;王瑞雪;贾丽;熊丹丹;李元钦

1:河南中医药大学第一附属医院嗓音病科

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摘要

目的探讨嗓音中医开喉亮音法治疗单侧声带麻痹的临床疗效。方法 60例单侧声带麻痹患者随机分为中药组(30例，补阳还五汤治疗8周)和开喉亮音组(30例，嗓音中医开喉亮音法治疗8周);以历史文献组(使用声带注射填充术治疗单侧声带麻痹的临床研究类文献)作为对照。治疗前后进行简化嗓音障碍指数量表、嗓音听感知-总嘶哑度评估、嗓音客观声学检测(声强、基频、基频微扰、振幅微扰、谐噪比)及空气动力学检测(最长发声时间),比较各组结果。结果治疗前两组间上述指标无显著差异(P>0.05);治疗后开喉亮音组简化嗓音障碍指数量表、嗓音听感知-总嘶哑度评估、基频微扰、振幅微扰、谐噪比、最长发声时间均较治疗前显著改善(P<0.01),且优于中药组。治疗前开喉亮音组简化嗓音障碍指数量表、嗓音听感知-总嘶哑度评估、振幅微扰较文献组严重(P<0.01),治疗后两组各项指标对比无差异(P>0.05)。结论嗓音中医开喉亮音法可显著改善单侧声带麻痹患者发声功能，提高患者生活质量，具有与声带注射填充术相当的治疗效果。

关键词

单侧声带麻痹;中医开喉亮音法;声带注射填充术

基金项目(Foundation):

河南省中医管理局国家中医临床研究基地科研专项(2018JDZX076);; 河南省中医药科学研究专项(2022ZY1041);河南省中医药科学研究专项(2023ZY2017)

作者

尚艳华;梅祥胜;王冰;赵丹丹;刘媛媛;马潇瑶;许冬玉;王瑞雪;贾丽;熊丹丹;李元钦

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单侧声带麻痹中医开喉亮音法声带注射填充术

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