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小儿功能性发声障碍的嗓音治疗:一项前瞻性研究。

Voice therapy in pediatric functional dysphonia: a prospective study.

作者信息

Trani Margherita, Ghidini Angelo, Bergamini Giuseppe, Presutti Livio

机构信息

Policlinico di Modena, Clinica Otorinolaringoiatrica, Via del Pozzo 71, 41100 Modena, Italy.

出版信息

Int J Pediatr Otorhinolaryngol. 2007 Mar;71(3):379-84. doi: 10.1016/j.ijporl.2006.11.002. Epub 2006 Nov 29.

Abstract

OBJECTIVE

We evaluated the efficacy of voice therapy according to Borragan's method associated to S. Magnani's vocal counselling in functional dysphonia in children.

PATIENTS AND METHODS

We prospectively treated 16 patients with vocal fold nodules (10 males, 6 females). Age ranged from 6 to 11 years with a mean age of 9 years. We performed a full screening phoniatric evaluation. In addition psychological tests were carried out to investigate psychological background.

RESULTS

We lost three patients at follow-up; one patient received surgery, eight patients healed (43.75%), four improved (25%). There was no statistical difference in the analysis of electroacoustical parameters while MPT significatively raised after therapy.

CONCLUSION

If patients have motivation voice therapy could improve functional dysphonia in children. It is also important psychological background. Further studies on bigger populations with long-term follow-up are needed.

摘要

目的

我们评估了根据博拉甘方法并结合S. 马尼亚尼的嗓音咨询对儿童功能性发声障碍进行嗓音治疗的疗效。

患者与方法

我们前瞻性地治疗了16例声带小结患者(10例男性,6例女性)。年龄在6至11岁之间,平均年龄为9岁。我们进行了全面的嗓音评估筛查。此外,还进行了心理测试以调查心理背景。

结果

随访期间我们失去了3例患者;1例患者接受了手术,8例患者痊愈(43.75%),4例有所改善(25%)。电声学参数分析无统计学差异,而治疗后MPT显著提高。

结论

如果患者有积极性,嗓音治疗可以改善儿童的功能性发声障碍。心理背景也很重要。需要对更多人群进行长期随访的进一步研究。

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