经皮穴位电刺激治疗嗓音疲劳的应用价值  

The application value of transcutaneous electrical acupoint stimulation in the treatment of vocal fatigue

作　　者：杨雪 吴飞虎[2] 沈海龙 徐可 韩燕勋 袁星月 王琴[1] 刘业海[1] YANG Xue;WU Feihu;SHEN Hailong;XU Ke;HAN Yanxun;YUAN Xingyue;WANG Qin;LIU Yehai(The First Affiliated Hospital of Anhui Medical University,Hefei 230031,China)

机构地区：[1]安徽医科大学第一附属医院,合肥230031 [2]安徽中医药大学第一附属医院,合肥

出　　处：《中国中西医结合耳鼻咽喉科杂志》2024年第4期273-278,共6页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：安徽省卫生健康委员会(AHWJ2021b160):基于互联网智能终端的耳鼻咽喉科部分慢性疾病经络穴位个体化治疗方案的研究。

摘　　要：目的探讨经皮穴位电刺激(TEAS)在嗓音疲劳(VF)中的治疗作用。方法选取2021年4~12月就诊于安徽医科大学第一附属医院门诊并确诊为嗓音疲劳的60例患者作为研究对象,并将其随机分为两组,每组各30例,对照组行嗓音训练治疗,试验组行经皮电刺激人迎穴及天突穴联合嗓音训练治疗,两组患者均予以治疗8周。记录两组干预前后嗓音障碍指数(VHI)、嗓音疲劳指数(VFI)及嗓音嘶哑评估表(GRBAS-G),对比干预前后的电子喉镜结果。结果两组患者治疗前VHI、VFI、GRBAS-G评分无统计学差异。治疗8周后,两组患者VHI、VFI、GRBAS-G评分较治疗前均好转,组内治疗前后对比差异有统计学意义(P<0.05)。治疗后组间比较显示试验组嗓音分值优于对照组,但VFI量表第一和第二部分及GRBAS-G评分无明显统计学差异。此外试验组总有效率显著高于对照组(P<0.05)。结论经皮无创穴位电刺激对于治疗嗓音疲劳具有良好的效果,值得进一步临床探索。Objective To investigate the therapeutic effect of transcutaneous electrical acupoint stimulation(TEAS)on voice fatigue(VF).Methods A total of 60 patients diagnosed with voice fatigue in the outpatient clinic of the First Affiliated Hospital of Anhui Medical University from April to December 2021 were selected as the research subjects and randomly divided into two groups,with 30 cases in each group,the control group underwent voice training treatment,and the experimental group underwent transcutaneous electrical stimulation of Renying acupoint and Tiantu acupoint combined with voice training treatment,and both groups were treated for 8 weeks.The voice impairment index(VHI),voice fatigue index(VFI)and hoarseness assessment form(GRBAS-G)were recorded between the two groups before and after intervention,and the results of electronic laryngoscopy before and after intervention were compared.Result There was no significant difference in VHI,VFI and GRBAS-G scores between the two groups before treatment.After 8 weeks of treatment,the scores of VHI,VFI and GRBAS-G in the two groups were improved compared with those before treatment,and the differences before and after treatment in the two groups were statistically significant(P<0.05).After treatment,the voice score of the experimental group was better than that of the control group,but there was no significant difference in the first and second parts of VFI scale and GRBAS-G score.In addition,the total effective rate of experimental group was significantly higher than that of control group(P<0.05).Conclusion Percutaneous non-invasive acupoint electrical stimulation has a good effect on the treatment of voice fatigue,which is worthy of further clinical exploration.

关 键 词：嗓音疲劳 经皮穴位电刺激 人迎穴 天突穴 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]