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电子喉镜下声带息肉摘除术联合雾化吸入治疗声带息肉的效果

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目的 观察电子喉镜下声带息肉摘除术联合雾化吸入治疗声带息肉的效果.方法 将2019年2月—2022年2月接收的100例声带息肉患者纳入研究,按照治疗方式分为实验组与参照组,每组50例.参照组接受电子喉镜下声带息肉摘除术治疗,实验组接受电子喉镜下声带息肉摘除术联合雾化吸入治疗,对比两组治疗前与出院前1 d的嗓音指标[基频微扰(JT)、噪声能量(NE)、谐噪比(HN)、噪声扰值(SH)]水平、临床症状(声音嘶哑、发音疲劳、咽部疼痛、音域改变)评分及并发症发生指数、患者满意指数.结果 治疗前,两组嗓音指标水平和临床症状评分比较,差异均无统计学意义(P>0.05);出院前1 d后,两组嗓音指标水平均得到改善,实验组JT、NE、SH低于参照组,HN高于参照组(P<0.05),两组临床症状评分均降低,实验组声音嘶哑、发音疲劳、咽部疼痛、音域改变评分低于参照组(P<0.05);实验组并发症发生指数低于参照组(P<0.05),患者满意指数高于参照组(P<0.05).结论 电子喉镜下声带息肉摘除术联合雾化吸入治疗声带息肉的效果理想,可减轻声音嘶哑、眼部疼痛等症状,有利于嗓音功能的恢复,同时可减少并发症,更符合患者的治疗期望.
Effect Observation of Vocal Polyp Removal Surgery under Electronic Laryngoscopy Combined with Nebulization Inhalation under Electronic Laryngoscopy for Vocal Polyps
Objective To observe the effect of vocal polyp removal surgery under electronic laryngoscopy combined with nebulization inhalation in treatment of vocal cord polyps.Methods The paper chose 100 patients with vocal cord polyps from February 2019 to February 2022 for study,and divided them into the experimental group and the reference group according to treatment method,with 50 cases in each group.The reference group was treated with vocal cord polyp removal under electronic laryngoscope,while the experimental group with vocal cord polyp removal under electronic laryngoscope combined with nebulization inhalation.The voice indicators of jitter (JT),noise energy (NE),harmonic noise ratio (HN),noise disturbance value,clinical symptom scores (hoarseness,voice fatigue,pharyngeal pain,vocal range changes),complication incidence index,and satisfaction degree of patients were compared between two groups before treatment and 1 day before discharge.Results Before treatment,there was no statistically significant difference in levels of voice indicators and clinical symptom scores between two groups (P>0.05).One day before discharge,both groups showed improvement in voice indicators.The experimental group had lower JT,NE,and SH scores than the reference group,and higher HN scores than reference group (P<0.05).Clinical symptom scores of both groups decreased,and the experimental group had lower scores for hoarseness,voice fatigue,pharyngeal pain,and changes in vocal range than the reference group (P<0.05).Incidence of complications in the experimental group was lower than reference group (P<0.05),and satisfaction degree of patients was higher than the reference group (P<0.05).Conclusion The combination of vocal polyp removal surgery under electronic laryngoscopy and nebulization inhalation can achieve ideal effect for vocal cord polyps,can help recovery of voice function,reduce symptoms of hoarseness,eye pains and complications,which is in line with treatment expectations of patients.

Vocal cord polypsElectronic laryngoscopeVocal polyp removal surgeryNebulization inhalationVoice functionComplications

胡善庆

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江苏省苏州市相城区漕湖人民医院,江苏 苏州 215144

声带息肉 电子喉镜 声带息肉摘除术 雾化吸入 嗓音功能 并发症

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(28)