嗓音训练改善早期声带息肉患者发声功能的效果

doi:10.3969/j.issn.1006-9771.2020.08.012

Abstract

Abstract:

Objective To investigate the clinical effect of voice training on the vocal function of patients with early vocal fold polyps. Methods From May, 2016 to May, 2018, 80 patients with unilateral wide-based vocal fold polyps were randomly divided into control group (n = 40) and experimental group (n= 40). Both groups underwent voice hygiene education, and the experimental group accepted voice training, 40 minutes a week for twelve weeks in addition. They were evaluated with fiber laryngoscope, voice handicap index (VHI) and the computer phonatory detection before and after training. Results Five in the control group and seven in the experimental group were dropped out. After training, the cure rate and the improvement rate of vocal fold polyps were significantly higher in the experimental group than in the control group ( χ² = 24.608, P < 0.001). The scores of VHI significantly improved in the experimental group ( t/Z >11.701, P < 0.05), and were better than those in the control group ( t/Z >7.027, P< 0.001). The scores of jitter, shimmer, and maximum phonation time improved (|t/Z| >5.012, P < 0.001) after training in the experimental group, and were better than those in the control group ( t/Z >4.596, P < 0.001). Conclusion Voice training could improve the vocal function of patients with early vocal fold polyps, reduce hoarseness, and improve the voice quality.

Key words: vocal fold polyps, voice training, vocal function

CLC Number:

R767.92

PENG Jing,LI Xu-hong,ZOU Mi,TAN Min. Effect of Voice Training on Vocal Function for Patients with Early Vocal Fold Polyps[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(8): 936-940.

Figures/Tables 4

References 31

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项目	对照组 (n = 40)	试验组 (n= 40)	t/Z/χ²值	P值
性别(男/女,n)	13/27	12/28	0.058^a	0.809
年龄(岁)	39.42±12.25	40.61±16.67	0.375^b	0.707
病程(月)	3.67±1.67	3.91±1.76	-0.647^b	0.518
基频微扰(jitter) (%)	4.006±1.085	3.867±2.949	-1.135^b	0.256
振幅微扰(shimmer) (%)	10.709±1.657	11.120±4.041	-0.526	0.602
MPT (s)	12.620±1.083	11.786±4.895	-1.037	0.308
VHI	60.20±7.161	59.64±12.47	0.236	0.815

项目	对照组(n = 35)		试验组(n = 33)		t/Z值^a	P值^a	t/Z值^b	P值^b	t/Z值^c	P值^c
项目	治疗前	治疗后	治疗前	治疗后	t/Z值^a	P值^a	t/Z值^b	P值^b	t/Z值^c	P值^c
功能(F)	17.63±4.479	18.23±3.515	19.21±4.519	6.06±3.690	1.602	0.109	20.948	< 0.001	-14.419	< 0.001
生理(P)	27.66±4.905	26.51±4.865	24.06±7.437	11.42±5.607	-2.323	0.020	11.701	< 0.001	9.910	< 0.001
情感(E)	15.31±2.471	14.94±2.869	16.36±4.212	6.18±3.157	-0.976	0.329	14.754	< 0.001	7.027	< 0.001
总分(T)	60.20±7.161	59.00±6.949	59.64±12.475	23.67±10.200	1.314	0.189	20.289	< 0.001	15.198	< 0.001

项目	对照组(n = 35)		试验组(n = 33)		t/Z值^a	P值^a	t/Z值^b	P值^b	t/Z值^c	P值^c
项目	治疗前	治疗后	治疗前	治疗后	t/Z值^a	P值^a	t/Z值^b	P值^b	t/Z值^c	P值^c
MPT(s)	12.620±1.083	13.007±1.239	11.786±4.895	17.167±4.155	-1.869	0.070	-12.727	< 0.001	-5.991	< 0.001
jitter(%)	4.006±1.085	3.929±1.047	3.867±2.949	2.125±1.456	0.605	0.549	-5.012	< 0.001	4.596	< 0.001
shimmer(%)	10.709±1.657	9.754±1.731	11.120±4.041	5.877±1.944	5.288	< 0.001	10.384	< 0.001	9.088	< 0.001

Effect of Voice Training on Vocal Function for Patients with Early Vocal Fold Polyps

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组别	n	治愈	好转	无效
对照组	35	0	10	25
试验组	33	12	15	6
χ²值		24.608
P值		< 0.001