发声显微外科和发声治疗  

Phonomicrosurgery and Voice Therapy

作　　者：龙平[1] 易华容[1] 艾红辉[1] 贺晓明[2] 

机构地区：[1]南昌大学第一附属医院耳鼻咽喉-头颈外科,南昌330006 [2]江西师范大学音乐学院,南昌330027

出　　处：《实用临床医学（江西）》2016年第7期65-67,73,共4页Practical Clinical Medicine

基　　金：江西省科技厅科技支撑计划

摘　　要：目的探讨声带良性肿瘤喉显微外科手术后发声训练对言语康复的作用。方法由专业嗓音训练师对其进行是否具有发声训练治疗依从性的评估后将声带良性病变患者117例分为单纯手术组(手术组,57例)和喉显微外科手术联合发声训练组(联合组,60例),治疗前后分别采用GRBAS评估和Xion嗓音声学分析对手术组、联合组患者进行主客观嗓音障碍程度评估。结果 GRBAS评估手术组、联合治疗组后嗓音总嘶哑度(G)、粗糙声听感知(R)得分均较治疗前明显下降(P<0.05);但联合组治疗后的嗓音总嘶哑度(G)、粗糙声听感知(R)得分更下降(P<0.05);嗓音声学分析手术组、联合治疗组后jitter和shimmer值均较治疗前明显降低,DSI明显升高(均P<0.05),而联合治疗组的jitter和shimmer值更低,DSI更高(均P<0.05)。结论发声显微外科联合发声治疗有助于提高声带良性肿瘤患者手术后的发声质量。Objective To investigate the effect of voice therapy on speech rehabilitation after laryngomicrosurgery for benign vocal cord tumor.Methods A total of 117 patients with benign vocal cord tumor were treated with laryngomicrosurgery（surgery group,n=57）or in combination with voice training（combination group,n=60）.The GRBAS perpetual evaluation and Xion acoustic analysis were used for subjective and objective assessment of voice disorders.Results GRBAS perpetual evaluation showed that the scores of hoarseness grade（G）and roughness（R）decreased after treatment in both group,and the decrease in combination group was more obvious than that in surgery group（P〈0.05）.Xion acoustic analysis showed that jitterb and shimmer values decreased and DSI value increased after treatment in both group（P〈0.05）.Furthermore,the decrease in jitterb and shimmer values and increase in DSI value in combination group were more obvious than those in surgery group（P〈0.05）.Conclusion The combination of phonomicrosurgery and voice therapy can improve the voice quality in patients with benign vocal cord tumor.

关 键 词：发声显微外科 发声治疗 GRBAS评估 嗓音声学分析 

分 类 号：R739.65[医药卫生—肿瘤]