半封闭声道嗓音训练治疗教师声带小结的临床研究

王小琴;朴美兰;魏凡竣;

1:北京市房山区良乡医院耳鼻喉科

摘要

目的探讨半封闭声道嗓音训练法治疗教师声带小结的临床疗效。方法回顾性分析2018年1月至2021年6月教师声带小结患者45例的临床资料，分为2组，实验组21例采用半封闭声道嗓音训练法，对照组24例采用传统方法嗓音训练，选取同期正常嗓音者30例作为正常组，通过嗓音障碍指数-10(VHI-10)量表、动态喉镜检查、计算机嗓音声学分析等，评估半封闭声道嗓音训练法的治疗效果。结果实验组21例中7例声带小结消失，12例缩小，2例无变化；对照组24例中10例声带小结消失，11例缩小，3例无变化。实验组及对照组VHI-10主观评分均明显下降(P<0.05),但实验组较对照组下降更明显(P<0.05)。嗓音声学分析结果显示，治疗后实验组及对照组基频及DSI值升高，基频微扰、振幅微扰下降，差异均有统计学差异(P<0.05);实验组DSI值提高较对照组明显，差异有统计学差异(P<0.05)。结论半封闭声道嗓音训练治疗声带小结效果良好，值得临床推广应用。

关键词

半封闭声道嗓音训练;嗓音训练;声带小结;教师

基金项目(Foundation):

作者

王小琴;朴美兰;魏凡竣;

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