嗓音训练联合补中益气汤治疗肺脾气虚型儿童声带小结  

The therapeutic effects of a combined therapy with voice training and orally taken Buzhong Yiqi Decoction for the treatment of vocal nodules among children with the pattern of Lung-Spleen Qi deficiency

作　　者：杨慕 彭韬 朱镇华[2] 刘耀凤 袁康龙 肖旭平[1] YANG Mu;PENG Tao;ZHU Zhenhua;LIU Yaofeng;YUAN Kanglong;XIAO Xuping(Department of Otorhinolaryngology Head and Neck Surgery,First Affiliated Hospital of Hunan Normal University(Hunan Provincial People’s Hospital),Changsha 410005,China)

机构地区：[1]湖南师范大学附属第一医院(湖南省人民医院)耳鼻咽喉头颈外科,长沙410005 [2]湖南中医药大学第一附属医院耳鼻咽喉头颈外科(长沙)

出　　处：《中国中西医结合耳鼻咽喉科杂志》2023年第6期423-427,共5页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：湖南中医药管理局(编号:202082)。

摘　　要：目的探讨嗓音训练联合补中益气汤治疗肺脾气虚型儿童声带小结的临床疗效。方法选取70例在湖南省人民医院确诊为声带小结且符合纳入标准患儿,随机分为对照组、观察组,各35例。对照组单纯行嗓音训练治疗8周,观察组于嗓音训练同时联合应用补中益气汤治疗8周。治疗前后均进行GRBAS评估、动态喉镜检查及计算机嗓音声学分析。结果两组患儿治疗后G、B、S评分均较治疗前明显下降,但观察组下降更为明显(P<0.05)。治疗后动态喉镜评估显示观察组有效率(94%)明显高于对照组(75%)(P<0.05)。观察组患儿Jitter、Shimmer、NHR参数较对照组下降更为明显(P<0.05),而MPT上升值则较对照组明显升高(P<0.05)。结论应用嗓音训练联合补中益气汤治疗儿童声带小结,近期疗效明显优于单纯嗓音训练法,能够更为有效地改善患儿发音功能。Objective To observe the therapeutic effects of a combined therapy with voice training and Buzhong Yiqi Decoction(BZYQD)orally taken for the treatment of vocal nodules among children with the pattern of Lung-Spleen Qi deficiency(LSQD).Method Seventy cases of children with vocal nodules were included in this trial and treated at Hunan People's Hospital,randomly divided into control group and observation group,with 35 cases in each and all with the pattern of LSQD.Cases in control group were only treated by voice training,while those in observation group treated by a therapy combined voice training with medical herbal prescription BZYQD,both therapies lasted for 8 weeks.Before and by the end of treating course,carried out were dynamic laryngoscopy and computerized voice acoustic analysis for all these cases for therapeutic evaluating comparatively.Results As shown from the scores tested by the end of therapy,G,R and S scores were significantly decreased among all cases in both control group and observation group(P<0.05),but with the scores lowered much obviously in observation group(P<0.05).Moreover,the effective rate,as evaluated via dynamic laryngoscopy,was 94%in observation group,significantly higher than the rate of 75%in control group(P<0.05).Furthermore,the parameters of Jitter,Shimmer and NHR were markedly lowered in observation group than in control group(P<0.05),while the parameter of MPT was significantly elevated in observation group than in control group(P<0.05)by the end of therapy.Conclusion It has been shown from this trial that the short-term therapeutic effect of the combined therapy with voice training and BZYQD should be superior to that of voice training alone for the treatment of vocal nodules among children.This kind of combined therapy can be used to help such children to improve their voice function effectively.

关 键 词：声带小结 嗓音训练 补中益气汤 联合疗法 疗效 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]