嗓音训练联合神经肌肉电刺激对甲状腺癌术后声带麻痹患者嗓音功能的影响

Effect of Voice Training Combined with Neuromuscular Electrical Stimulation on Voice Function in Patients with Vocal Cord Paralysis after Thyroid Cancer Surgery

目的探讨嗓音训练联合神经肌肉电刺激在甲状腺癌术后声带麻痹患者中的应用效果.方法选取2020年7月—2022年6月我院收治的94例甲状腺癌术后声带麻痹患者为研究对象,按随机数字表法分为两组,各47例.对照组采取嗓音训练,观察组在对照组基础上联合神经肌肉电刺激,均持续干预1个月.对比两组嗓音功能、声带活动与声门闭合情况、生活质量.结果治疗前,两组嗓音障碍指数量表(VHI)、嗓音主观听觉评估(GRBAS)、声带活动与声门闭合情况、生活质量综合评定问卷(GQOLI-74)评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组VHI中生理、功能、情感评分及GRBAS评估中的总嘶哑度、粗糙度、气息度、无力度、紧张度评分均低于对照组,组间差异有统计学意义(P<0.05);治疗后,观察组声带活动与声门闭合情况评分、GQOLI-74评分均高于对照组,组间差异有统计学意义(P<0.05).结论嗓音训练联合神经肌肉电刺激能改善甲状腺癌术后声带麻痹患者的嗓音功能、声带活动与声门闭合情况,提升其生活质量.

Objective To explore the effect of voice training combined with neuromuscular electrical stimulation in patients with vocal cord paralysis after thyroid cancer surgery.Methods 94 patients with vocal cord paralysis after thyroid cancer surgery admitted to the hospital from July 2020 to June 2022 were selected as the research objects,and were divided into two groups according to random number table method,with 47 cases in each group.The control group received voice training,and the observation group received neuromuscular electrical stimulation on the basis of the control group.The intervention lasted for 1 month.Vocal function,vocal cord activity,glottis closure and quality of life were compared between the two groups.Results Before treatment,there were no significant differences between the two groups in voice handicap index(VHI),voice subjective hearing assessment(GRBAS),vocal cord activity and glottis closure,and generic quality of life inventory-74(GQOLI-74)(P>0.05);after treatment,the physiological,functional and emotional scores of VHI and the total hoarseness,roughness,breath,intensity and tension scores of GRBAS in the observation group were lower than those in the control group,with statistical significance differences between the two groups(P<0.05);after treatment,the scores of vocal cord activity,glottis closure and GQOLI-74 in the observation group were higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Voice training combined with neuromuscular electrical stimulation can improve voice function,vocal cord activity and glottis closure in patients with vocal cord paralysis after thyroid cancer surgery,and improve their quality of life.