励-协夫曼言语治疗对帕金森病构音障碍患者电声门图参数和言语功能的影响研究  

Effect of Lee-Silverman voice treatment on electroglottography parameters andspeech function in Parkinson’s disease patients with dysarthria

作　　者：廖成钜 潘锦梅 陈少彬 罗成宏 杨健 黄志强 罗家兴 张贵阳 张峪涵 LIAO Chengju;PAN Jinmei;CHEN Shaobin;LUO Chenghong;YANG Jian;HUANG Zhiqiang;LUO Jiaxing;ZHANG Guiyang;ZHANG Yuhan(Department of Neurology,Dongguan Songshan Lake Central Hospital,Dongguan,Guangdong 523326,China;Department of Rehabilitation Medicine,Dongguan Songshan Lake Central Hospital,Dongguan,Guangdong 523326,China;Department of Otolaryngology Head and Neck Surgery,Dongguan Songshan Lake Central Hospital,Dongguan,Guangdong 523326,China)

机构地区：[1]东莞市松山湖中心医院神经内科,广东东莞523326 [2]东莞市松山湖中心医院康复医学科,广东东莞523326 [3]东莞市松山湖中心医院耳鼻咽喉头颈外科,广东东莞523326

出　　处：《重庆医学》2024年第9期1328-1332,共5页Chongqing medicine

基　　金：广东省东莞市社会科技发展(重点)项目(202050715024222);广东省东莞市社会科技发展(一般)项目(202050715024583)。

摘　　要：目的研究励-协夫曼言语治疗(LSVT)应用于帕金森病(PD)构音障碍患者的语言康复效果。方法选择该院2019年2月至2022年2月收治的PD构音障碍患者84例作为研究对象,按照随机数字表法分为观察组和对照组,每组各42例,对照组接受常规言语康复训练,观察组接受LSVT,疗程均为4周。比较两组干预前后西方失语症成套测验(WAB)和失语商(AQ)评分,并比较两组基频微扰(jitter)、基频(F0)、振幅微扰(shimmer)、标准化噪声能量(NNE)、谐噪比(HNR)等电声门图参数差异。结果干预前,两组WAB各项(听语理解、复述、自发言语、命名)、AQ评分比较,差异均无统计学意义(P>0.05);干预后,两组上述评分均明显提高,且观察组高于对照组,差异有统计学意义(P<0.05);干预前,两组元音“a”“i”“u”电声门参数jitter、F0、shimmer、NNE、HNR比较,差异均无统计学意义(P>0.05);干预后,两组上述电声门参数均较干预前明显改善,观察组元音“a”“i”“u”的jitter、NNE均低于对照组,HNR高于对照组,差异有统计学意义(P<0.05)。结论LSVT可改善PD构音障碍患者电声门图参数和言语功能,应用于PD构音障碍的语言康复效果明显。Objective To explore the effect of Lee-Silverman voice treatment(LSVT)on language rehabilitation of dysarthria in Parkinson’s disease(PD).Methods A total of 84 patients with PD dysarthria admitted to our hospital from February 2019 to February 2022 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 42 cases in each group.The control group received routine speech rehabilitation training,and the observation group received LSVT for four weeks.The scores of Western Aphasia Battery(WAB)and Aphasia Quotient(AQ)before and after intervention were compared between the two groups,and the differences of electroglottographic parameters such as jitter,F0,shimmer,normalized noise energy(NNE)and harmonic noise ratio(HNR)were compared between the two groups.Results Before intervention,there was no significant difference in WAB scores(listening comprehension,repetition,spontaneous speech,naming)and AQ scores between the two groups(P>0.05).After intervention,the above scores of the two groups were significantly improved,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Before intervention,the jitter,F0,shimmer,NNE,HNR of vowels“a”“i”“u”in the two groups were not statistically significant(P>0.05).After intervention,the above-mentioned electroglottic parameters of the two groups were significantly improved.The jitter and NNE of vowels“a”“i”“u”in the observation group were lower than those in the control group,and the HNR was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion LSVT can improve the electroglottographic parameters and speech function of patients with PD dysarthria,and the language rehabilitation effect of PD dysarthria is obvious.

关 键 词：帕金森病 构音障碍 励-协夫曼言语治疗 电声门图 

分 类 号：R742.5[医药卫生—神经病学与精神病学]