ABCLOVE嗓音训练法改善早期喉癌等离子消融术后患者嗓音功能的效果观察
To Observe the Effect of ABCLOVE Voice Training Method on Improving the Pronunciation Function of Patients with Early Laryngeal Cancer after Vocal Cord Surgery
汪李琴 1郭硕 1周涵 1史雅文1
作者信息
- 1. 南京医科大学第一附属医院耳鼻咽喉科 江苏南京 210029
- 折叠
摘要
目的:观察ABCLOVE嗓音训练法改善早期喉癌等离子消融术后患者嗓音功能的效果.方法:选取2022年1月～2022年12月本院收治的126例早期喉癌等离子消融术后患者为研究对象,利用随机数字表法将其分为对照组和观察组,各63例.对照组采用常规嗓音训练,观察组在对照组的基础上行ABCLOVE嗓音训练法,共6周.比较两组干预前后电子喉镜检查情况、嗓音障碍评估(VHI)、空气动力学分析及动态喉镜检查等指标.结果:电子喉镜检查显示观察组治疗有效率优于对照组(P＜0.05);干预后观察组VHI评分显著低于对照组(P＜0.05);干预后最长发音时间(MPT)、最大发音时间(MLPT)、嗓音障碍指数(DSI)均显著高于对照组,基频微扰(Jitter)、振幅微扰(Shimmer)、平均气流率(MFR)均显著低于对照组(P＜0.05);干预后声带闭合、声带黏膜波、声带运动对称性、声带振动规律性评分均显著低于对照组(P＜0.05).结论:ABCLOVE嗓音训练法可有效改善早期喉癌等离子消融术后患者发音障碍情况,提升其发音能力,有利于进一步提升其临床疗效.
Abstract
Objective:To observe the effect of ABCLOVE voice training on improving the pronunciation function of patients with early laryngeal cancer after vocal cord surgery.Methods:A total of 126 patients with early laryngeal cancer after vocal cord surgery ad-mitted to our hospital from December 2020 to January 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 63 cases in each group.The control group was treated with drug therapy and routine voice training,and the observation group was treated with ABCLOVE voice training on the basis of the control group for 6 weeks.The electronic laryngoscopy,voice disorder assessment(VHI),aerodynamic analysis and dynamic laryngoscopy were compared between the two groups before and after intervention.Results:Electronic laryngoscopy showed that the effective rate of treatment in the observation group was better than that in the control group(P＜0.05).After intervention,the VHI score of the observation group was sig-nifiicantly lower than that of the control group(P＜0.05).After intervention,the longest pronunciation time(MPT),maximum pronuncia-tion time(MLPT)and voice disorder index(DSI)were significantly higher than those in the control group,and the fundamental frequency perturbation(Jitter),amplitude perturbation(Shimmer)and mean airflow rate(MFR)were significantly lower than those in the control group(P＜0.05).After intervention,the scores of vocal cord closure,vocal cord mucosal wave,vocal cord movement symmetry and vocal cord vibration regularity were signifiicantly lower than those in the control group(P＜0.05).Conclusion:ABCLOVE voice training method can effectively improve the dysphonia of patients with early laryngeal cancer after vocal cord surgery,improve their pronunciation ability,and help to further improve their clinical efficacv.
关键词
早期喉癌/声带手术/ABCLOVE嗓音训练法/发音功能/嗓音质量Key words
Early laryngeal cancer/Vocal cord surgery/ABCLOVE voice training method/Pronunciation function/Voice quality引用本文复制引用
基金项目
江苏省卫生健康委科研项目(H2019001)
出版年
2024
NETL
NSTL
万方数据