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[功能性发声障碍中的神经精神障碍]

[Neuropsychic disorders in functional dysphonias].

作者信息

Samoliubover E G

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(3):104-8.

PMID:3381605
Abstract

A total of 110 patients with functional vocal disorders secondary to neurosis were examined. They included 50 patients with neurasthenia, 30 with hysteria, and 21 with obsessive neurosis. The pattern of vocal disorder had its own peculiarities in each form of neurosis. All patients were subjected to multiple modality treatment: drug therapy, psychotherapy, respiratory gymnastics, and phonopedics. The treatment resulted in the disappearance of neurotic symptoms, normalization of the respiratory rate, and the complete restoration of vocal function. Thus, a clinical follow up of patients with functional vocal impairments and analysis of cause-and-effect relationships prompt the conclusion that functional dysphonia is a neurotic symptom whereas laryngeal alterations are secondary to pathological voice production.

摘要

对总共110例继发于神经症的功能性发声障碍患者进行了检查。其中包括50例神经衰弱患者、30例癔症患者和21例强迫性神经症患者。发声障碍的模式在每种神经症形式中都有其自身特点。所有患者均接受了多种治疗方式:药物治疗、心理治疗、呼吸体操和发声矫治。治疗使神经症症状消失,呼吸频率恢复正常,发声功能完全恢复。因此,对功能性发声障碍患者的临床随访以及因果关系分析得出结论:功能性发声困难是一种神经症症状,而喉部改变是病理性发声的继发表现。

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