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[以嗓音治疗为主的非手术治疗对单侧声带麻痹患者的疗效及影响因素分析]

[Analysis of the efficacy of non-surgical treatment mainly focus on voice therapy and it's influencing factors in patients with unilateral vocal fold paralysis].

作者信息

Pan Meiyang, Lan Linlin, Jiang Zhen, Gao Ling, Zhuang Peiyun

机构信息

Department of Voice Medicine,Xiamen University Zhongshan Hospital,Xiamen Key Laboratory of Voice Medicine,Xiamen,361004,China.

School of Medicine,Xiamen University.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Oct;38(10):923-927;934. doi: 10.13201/j.issn.2096-7993.2024.10.008.

Abstract

Retrospective analysis of the efficacy and it's influencing factors of non-surgical treatment mainly focus on voice therapy for patients with unilateral vocal fold paralysis. The retrospective study includes 57 patients who were diagnosed with unilateral vocal fold paralysis and presented with hoarseness as their main complaint at the Department of Voice Medicine, Zhongshan Hospital of Xiamen University from August, 2021 to August, 2023. Judging the efficacy of non-surgical treatment mainly focus on voice therapy through changes in acoustic, aerodynamic, and laryngoscopic parameters; Analyze the relationship between patients' age, gender, duration of disease, cause of nerve injury, type of nerve injury, side of nerve injury and efficacy of non-surgical treatment. After non-surgical treatment mainly focused on voice therapy, there were statistically significant differences(<0.01) in the changes of vocal fold bow, glottal gap, glottal compression, loudness, Jitter, Shimmer, IC, and NC parameters. There is a statistically significant correlation between the duration of the disease and changes in glottal gap, Shimmer, and IC(<0.05), the side of nerve injury can affect changes of glottal gap and NC(<0.05). Non-surgical treatment mainly focused on voice therapy has a good efficacy on patients with unilateral vocal fold paralysis. The duration of the disease and the side of nerve injury may affect the efficacy.

摘要

非手术治疗主要针对单侧声带麻痹患者进行嗓音治疗的疗效及其影响因素的回顾性分析。该回顾性研究纳入了2021年8月至2023年8月期间在厦门大学附属中山医院嗓音医学科就诊,诊断为单侧声带麻痹且以声音嘶哑为主诉的57例患者。通过声学、空气动力学和喉镜参数的变化来判断以嗓音治疗为主的非手术治疗的疗效;分析患者的年龄、性别、病程、神经损伤原因、神经损伤类型、神经损伤侧别与非手术治疗疗效之间的关系。以嗓音治疗为主的非手术治疗后,声带弓、声门裂隙、声门闭合、响度、基频微扰、振幅微扰、噪声和谐波噪声参数的变化有统计学意义(<0.01)。病程与声门裂隙、振幅微扰及噪声和谐波噪声的变化有统计学意义的相关性(<0.05),神经损伤侧别可影响声门裂隙及谐波噪声的变化(<0.05)。以嗓音治疗为主的非手术治疗对单侧声带麻痹患者有较好疗效。病程及神经损伤侧别可能影响疗效。

相似文献

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[The value of acoustic parameters in the voice therapy for patients with unilateral vocal cord paralysis].[声学参数在单侧声带麻痹患者嗓音治疗中的价值]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Sep 7;54(9):685-688. doi: 10.3760/cma.j.issn.1673-0860.2019.09.007.

本文引用的文献

1
[The consensus among experts on the diagnosis and treatment of pediatric vocal cord paralysis].[小儿声带麻痹诊断与治疗专家共识]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Oct;37(10):765-770. doi: 10.13201/j.issn.2096-7993.2023.10.001.
2
Objective Laryngoscopic Measures From Older Patients With Voice Complaints and Signs of Aging.老年嗓音主诉及衰老体征患者的喉镜检查指标
J Speech Lang Hear Res. 2021 Dec 13;64(12):4705-4717. doi: 10.1044/2021_JSLHR-21-00095. Epub 2021 Nov 4.
4
[Experts consensus on diagnosis and treatment of vocal fold paralysis].[声带麻痹诊断与治疗专家共识]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Mar 7;56(3):198-209. doi: 10.3760/cma.j.cn115330-20200924-00765.

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