基于VHI的嗓音训练结合神经肌肉电刺激对甲状腺癌根治术后声带麻痹患者康复效果的影响

Effect of VHI Based Voice Training Combined with Neuromuscular Electrical Stimulation on the Rehabilitation of Vocal Cord Paralysis Patients after Radical Surgery:for Thyroid Cancer

目的探讨基于嗓音障碍指数量表(VHI)的嗓音训练结合神经肌肉电刺激对甲状腺癌根治术后声带麻痹患者的影响。方法选取2020年9月—2022年9月滕州市工人医院收治的100例甲状腺癌根治术后声带麻痹患者为研究对象,按照随机数字表法将其分为对照组与观察组,各50例。对照组采用神经肌肉电刺激,观察组于对照组基础上加用基于VHI的嗓音训练。对比两组的嗓音障碍程度、嗓音功能、生活质量。结果观察组VHI中各维度评分及总分、嗓音主观听觉评估中各维度评分均低于对照组,组间差异有统计学意义(P<0.05)。结论实施基于VHI的嗓音训练结合神经肌肉电刺激的效果显著,能够减轻患者嗓音功能障碍,促进其嗓音功能提高。

Objective To investigate the effect of voice training combined with neuromuscular electrical stimulation based on Voice Handicap Index(VHI)on vocal cord paralysis patients after radical for thyroid cancer surgery.Methods A total of 100 patients with vocal cord paralysis after radical thyroidectomy in Tengzhou Workers'Hospital from September 2020 to September 2022 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group received neuromuscular electrical stimulation,and the observation group received voice training based on VHI.The degree of voice disturbance,voice function and quality of life were compared between the two groups.Results The score and total score of VHI and the score of subjective auditory evaluation of voice in the observation group were lower than those in the control group,and the differences between groups were statistically significant(P<0.05).Conclusion Voice training based on VHI combined with neuromuscular electrical stimulation can significantly reduce voice dysfunction and promote the improvement of voice function.