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[嗓音训练联合主动呼吸与循环技术对声带息肉手术后嗓音恢复的影响]

[Influence of voice training combined with active breathing and circulation technique on voice recovery after vocal cord polyp surgery].

作者信息

Guan Yajie, He Wen, DU Xiaohui, Wu Ming

机构信息

Department of Otolaryngology,Wuhan Integrated Traditional Chinese and Western Medicine Hospital,Wuhan,430030,China.

Department of Otolaryngology,Wuhan Third Hospital.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2025 Apr;39(4):324-327;332. doi: 10.13201/j.issn.2096-7993.2025.04.006.

Abstract

To explore the influence of voice training combined with active breathing and circulation techniques on voice recovery following vocal cord polyp surgery. A total of 110 patients who underwent vocal cord polyp surgery at our hospital from May 2022 to November 2023 were selected and randomly divided into a control group (=55) and a combination group (=55) using a random number table method. During the recovery period, both groups received dietary control and aerosol treatment. The control group participated in voice training, while the combination group received active breathing and circulation techniques in addition to voice training for 2 months. Morphological changes, voice acoustic indicators (Shimmer, Jitter, Maximum Phonation Time[MPT]), and the Voice Handicap Index (VHI) were compared between the two groups, and clinical efficacy was evaluated. The combination group demonstrated higher clinical efficacy after training compared to the control group, with a statistically significant difference (<0.05). The proportion of incomplete closure, abnormal mucosal wave, and supraglottic compensation decreased in both groups after training (<0.05). However, there was no significant difference in the proportions of incomplete closure and abnormal mucosal wave between the two groups (>0.05). Notably, the proportion of patients with supraglottic compensation in the combination group was lower than in the control group (<0.05). After training, the Shimmer and Jitter values decreased in both groups, with the combination group exhibiting lower values (<0.05). Conversely, the MPT values increased in both groups, again with higher values in the combination group (<0.05). Additionally, after training, the functional, physiological, and emotional scores of the VHI decreased in both groups, with the scores in the combination group lower than those in the control group, demonstrating statistical significance (<0.05). Voice training combined with active breathing and circulation techniques has a beneficial effect on recovery following vocal cord polyp surgery. This combined approach significantly improves vocal cord morphology and acoustic indices, alleviates voice disorders, and enhances overall voice recovery.

摘要

探讨嗓音训练联合主动呼吸与循环技术对声带息肉手术后嗓音恢复的影响。选取2022年5月至2023年11月在我院接受声带息肉手术的110例患者,采用随机数字表法将其随机分为对照组(n = 55)和联合组(n = 55)。在恢复期,两组均接受饮食控制和气雾剂治疗。对照组进行嗓音训练,联合组在嗓音训练的基础上接受主动呼吸与循环技术训练,为期2个月。比较两组的形态学变化、嗓音声学指标(谐波音、基频微扰、最长发声时间[MPT])及嗓音障碍指数(VHI),并评估临床疗效。训练后联合组的临床疗效高于对照组,差异有统计学意义(P<0.05)。两组训练后声门闭合不全、黏膜波异常及声门上代偿的比例均降低(P<0.05)。然而,两组声门闭合不全和黏膜波异常的比例差异无统计学意义(P>0.05)。值得注意的是,联合组声门上代偿患者的比例低于对照组(P<0.05)。训练后,两组的谐波音和基频微扰值均降低,联合组的值更低(P<0.05)。相反,两组的最长发声时间值均升高,联合组的值更高(P<0.05)。此外,训练后两组VHI的功能、生理和情感评分均降低,联合组的评分低于对照组,差异有统计学意义(P<0.05)。嗓音训练联合主动呼吸与循环技术对声带息肉手术后的恢复有有益作用。这种联合方法显著改善声带形态和声学指标,减轻嗓音障碍,促进整体嗓音恢复。

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[Preliminary analysis of the effect of individualized voice therapy on pediatric voice disorders].[个性化嗓音治疗对小儿嗓音障碍效果的初步分析]
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