[痉挛性发声障碍的临床特征]
[Clinical features of spastic dysphonia].
作者信息
Vasilenko Iu S, Golubev V L, Debrianskaia M B
出版信息
Vestn Otorinolaringol. 1995 Nov-Dec(6):45-9.
Clinical, neurological, endoscopic, psychological findings, questionnaire data on vegetative sphere, diaphragm x-ray, articulation test and Viene test system evidence obtained on 25 patients with phonic spasm confirm organic neurological nature of spastic dysphonia as focal muscular dystonia. This condition can be accompanied with tremor, rotatory, winking and writers' spasms, oromandibular dystonia. As indicated by positive treatment outcomes, combined treatment of phonic spasm with GABA-ergic drugs of clonazepam (antelepsin) and baclofen, orthophonic voice correction, physiotherapy is pathogenetically justified.
对25例发音痉挛患者的临床、神经学、内镜检查、心理学检查结果，关于自主神经功能的问卷数据、膈肌X光检查、发音测试及Viene测试系统证据均证实痉挛性发音障碍作为局灶性肌张力障碍具有器质性神经学本质。这种情况可能伴有震颤、旋转性、眨眼及书写痉挛、口下颌肌张力障碍。如积极的治疗结果所示，采用氯硝西泮（安特尔平）和巴氯芬等GABA能药物、正音嗓音矫正及物理治疗联合治疗发音痉挛在发病机制上是合理的。
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