半封闭声道训练结合共鸣嗓音疗法在声带小结患者中的应用

方素英;葛畅;

1:中国科学技术大学附属第一医院(安徽省立医院)耳鼻咽喉头颈外科

2:中国科学技术大学附属第一医院(安徽省立医院)护理部

摘要

目的探讨半封闭声道训练(semi-occluded vocal tract exercises, SOVTE)结合共鸣嗓音疗法对声带小结患者的治疗效果。方法选取门诊60例声带小结患者，接受为期12周的SOVTE及共鸣嗓音疗法，于训练前和训练12周后分别进行嗓音声学分析、嗓音听感知评估(GRBAS)和嗓音障碍指数(voice handicap index,VHI)评估，分析训练后效果。结果训练后患者嗓音声学分析结果示jitter、shimmer、NHR值均比训练前减小，MPT值较训练前延长(P<0.01);VHI评分、总嘶哑度、粗糙声、气息声评分较训练前均明显降低(P<0.01)。结论 SOVTE结合共鸣嗓音疗法能够有效提高患者发声效率，对发声方式不当所致的声带小结患者有良好的治疗效果。

关键词

半封闭声道训练;共鸣嗓音疗法;声带小结

基金项目(Foundation):

作者

方素英;葛畅;

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方素英葛畅