音乐疗法在发声困难儿童康复过程中的应用研究  

Application of music therapy in rehabilitation of children with dysphonia

作　　者：梁万顺 王文华[1] 王园园[1] 贾英萍 王媛[1] LIANG Wanshun;WANG Wenhua;WANG Yuanyuan;JIA Yingping;WANG Yuan(Department of Anesthesia and Perioperative Medicine,Henan Children's Hospital/Children's Hospital Affiliated to Zhengzhou University,Zhengzhou,Henan 450000,China)

机构地区：[1]河南省儿童医院/郑州大学附属儿童医院麻醉与围术期医学科,河南郑州450000

出　　处：《现代医药卫生》2022年第23期4029-4032,共4页Journal of Modern Medicine & Health

基　　金：河南省医学科技攻关省部共建重点项目(SBGJ202102210)。

摘　　要：目的探讨音乐疗法在发声困难儿童康复过程中的临床价值。方法选取2020年11月至2021年11月该院收治的发声困难儿童90例,按照随机数字表法分为研究组(45例)和对照组(45例)。对照组给予常规康复护理,研究组在对照组基础上采用音乐疗法,比较2组儿童嗓音障碍指数量表(pVHI)、嗓音听感知一致性评估(CAPE-V)、听觉嗓音质量指数(AVQI)评分和治疗依从性。结果2组干预前CAPE-V、AVQI、pVHI评分比较,差异无统计学意义(P>0.05)。研究组干预后CAPE-V、AVQI、pVHI评分明显低于对照组,差异有统计学意义(P<0.05)。干预后,2组中3岁以上患儿CAPE-V、AVQI、pVHI评分明显低于3岁及以下患儿,差异有统计学意义(P<0.05)。研究组练习频率明显高于对照组,差异有统计学意义(P<0.05)。2组中3岁以上患儿练习频率明显高于3岁及以下患儿,差异有统计学意义(P<0.05)。结论音乐疗法治疗发声困难儿童的效果明显,其不仅能提高患儿治疗依从性,还可加快患儿康复进程。Objective To explore the clinical value of music therapy in the rehabilitation of children with dysphonia.Methods Ninety children with dysphonia admitted to the hospital from November 2020 to November 2021 were selected and divided into study group(45 cases)and control group(45 cases)according to random number table.The control group was given routine rehabilitation care,while the study group was given music therapy on the basis of the control group.The scores of pediatric voice handicap index(pVHI),consensus auditory-perceptual evaluation of voice,auditory voice quality index(AVQI)and treatment compliance were compared between the two groups.Results There were no significant differences in the CAPE-V,AVQI and pVHI scores between the two groups before intervention(P>0.05).After intervention,the CAPE-V,AVQI and pVHI scores in the study group were significantly lower than those in the control group(P<0.05).After intervention,the CAPE-V,AVQI and pVHI scores of children over 3 years old in the two groups were significantly lower than those of children under 3 years old(P<0.05).The training frequency in the study group was significantly higher than that in the control group,with a statistically significant difference(P<0.05).The exercise frequency of children over 3 years old in the two groups was significantly higher than that of children under 3 years old(P<0.05).Conclusion The effect of music therapy on children with dysphonia is obvious.It can not only improve the compliance of children with dysphonia,but also accelerate the rehabilitation process of children.

关 键 词：发声困难 音乐疗法 依从性 康复护理 

分 类 号：R473.74[医药卫生—护理学]