嗓音训练在变声期后假声患者中的应用  

Voice therapy for patients with mutational dysphonia

作　　者：吕丹[1] 马兰枝 杨慧[1] 李明霞 周琦[1] 余蓉[1] 张馨元[1] 任佳[1] 郑义涛 LV Dan1 ,MA Lanzhi2 ,YANG Hui1 , LI Mingxia3 , ZHOU Qi1 ,YU Rong1 ,ZHANG Xinyuan1 ,REN Jia1 ,ZHENG Yitao1(1. Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China ;2. Department of Basic Medical Sciences, Sichuan University, Chengdu 610041, China; 3. DePartment of Nursing, Sichuan University, Chengdu 610041, Chin)

机构地区：[1]四川大学华西医院耳鼻咽喉头颈外科,四川成都610041 [2]四川大学华西基础医学与法医学院基础医学系,四川成都610041 [3]四川大学华西临床医学院护理系,四川成都610041

出　　处：《西部医学》2018年第4期522-525,共4页Medical Journal of West China

基　　金：四川省科技支撑计划项目(2016FZ0106)

摘　　要：目的探讨嗓音训练在变声期后假声患者中的疗效。方法收集2015年5月~2016年8月在四川大学华西医院接受嗓音训练前后的变声期后假声4例患者的基频(F0)、焦虑(SAS)、抑郁(SDS)状态及嗓音障碍指数量表-10(VHI-10)得分。结果 4例患者分别在嗓音训练后第2周、第3周、第4周及第5周开始出现男声,出现男声后,基频明显降低,接近正常男声水平,随后几周基频会出现波动,但均在男声基频范围内。4例患者中有1例患者训练前已存在中度抑郁,2例患者训练前存在轻度焦虑,经训练后焦虑状况正常。训练后4例患者的VHI-10评分在功能、生理、情感及总分维度均有所降低。结论嗓音训练对于变声期后假声是一种安全有效、值得推广的治疗方法。Objective The aim of this study was to investigate the effect of voice therapy in patients with mutational dysphonia. Methods The four patients with mutational dysphonia were reviewed from May 2015 to August 2016. The value of frequency, the score of self-rating anxiety scale（SAS） ,self-rating depression scale（SDS） and Voice Handicap Index-10（VHI-10） which both before and after voice therapy were collected. Results The four patients were began to appear male voice,respectively in the second,third, fourth and fifth week, and in the next few weeks there will be fluctuations in the fundamental frequency, but all in male frequency range. One patient in the presence of moderate anxiety before voice therapy, the other two patients had mild depression before voice therapy, and the depression are normal after therapy, and VHI-10 scores in the functional, physical.

关 键 词：变声期后假声 嗓音治疗 焦虑 抑郁 

分 类 号：R766[医药卫生—耳鼻咽喉科] R767[医药卫生—临床医学]