以嗓音障碍指数与反流指数为指导的干预在甲状腺癌术后患者中的应用效果  

Application effect of intervention guided by voice handicap index and reflux index in patients after thyroid cancer

作　　者：尹萍[1] 王丹凤[1] 黄苗 孙萍[1] 邹贤[1] YIN Ping;WANG Danfeng;HUANG Miao;SUN Ping;ZOU Xian(Department of Surgery,Jiangyuan Hospital Affiliated to Jiangsu Provincial Institute of Atomic Medicine,Wuxi Jiangsu 214063,China)

机构地区：[1]江苏省原子医学研究所附属江原医院外科,江苏无锡214063

出　　处：《临床与病理杂志》2022年第4期911-916,共6页Journal of Clinical and Pathological Research

基　　金：无锡市科技发展基金(CSE31N1728)。

摘　　要：目的:探讨以嗓音障碍指数与返流指数为指导的干预应用于甲状腺癌术后患者中的效果。方法:选择2020年1月至2021年1月江苏省原子医学研究所附属江原医院收治的甲状腺癌手术患者108例,随机分为对照组与观察组,每组54例。对照组行常规干预,观察组行以嗓音障碍指数与返流指数为指导的干预。对比两组术后嗓音声学值变化、嗓音障碍指数、咽喉反流症状指数、心理弹性水平及生活质量变化情况。结果:观察组术后最大声时、振幅微扰嗓音声学值高于对照组,基频微扰嗓音声学值低于对照组(P<0.05);观察组术后3个月嗓音障碍指数各项评分均低于对照组(P<0.05);观察组术后3个月咽喉反流指数评分低于对照组(P<0.05);观察组术后3个月心理弹性水平各项评分均高于对照组(P<0.05);观察组术后3个月生活质量各项评分均高于对照组(P<0.05)。结论:以嗓音障碍指数与返流指数为指导的干预应用于甲状腺癌患者中可改善嗓音声学值水平,减轻术后嗓音障碍及咽喉反流程度,从而提高心理弹性水平及生活质量。Objective:To explore the effect of intervention guided by voice handicap index and reflux index in patients with thyroid cancer.Methods:A total of 108 patients undergoing thyroid cancer surgery in our hospital from January 2020 to January 2021 were selected and randomly divided into 2 groups,with 54 cases in each group.The control group underwent routine intervention,and the observation group underwent intervention guided by the voice handicap index and reflux index.The changes in voice acoustic value,voice handicap index,throat reflux symptom index,psychological elasticity level and quality of life were compared between the 2 groups after surgery.Results:The acoustic value of the observation group’s maximum voice and amplitude perturbation voice after operation was higher than that of the control group,and the fundamental frequency perturbation voice acoustic value was lower than that of the control group(P<0.05);the scores of the voice disorder index in the observation group were lower than those in the control group at 3 months after operation(P<0.05);the throat reflux index scores of the observation group were lower than those of the control group 3 months after the operation(P<0.05);the psychological elasticity scores of the observation group were higher than the control group 3 months after the operation(P<0.05);the quality of life scores of the observation group were higher than those of the control group 3 months after operation(P<0.05).Conclusion:Intervention guided by voice handicap index and reflux index can improve the acoustic level of voice in patients with thyroid cancer,reduce postoperative voice disorder and throat reflux,and improve the level of mental elasticity and quality of life.

关 键 词：嗓音障碍指数 咽喉反流指数 甲状腺癌 嗓音声学值 心理弹性 生活质量 

分 类 号：R736.1[医药卫生—肿瘤]