药物结合发声训练治疗功能性发音障碍的临床研究

Clinic research on voice training in the treatment of functional dysphonia

目的探讨发声训练在功能性发音障碍治疗中的疗效及意义。方法运用药物结合发声训练的方法对66例功能性发音障碍患者进行嗓音治疗,并与69例单纯药物治疗者进行对照。比较分析其治疗前后基频微扰、振幅微扰、标准化噪声能量三个参数的变化和症状改善情况。结果试验组患者治疗后的基频微扰、振幅微扰和标准化噪声能量与治疗前相比差异均有显著统计学意义(均<0.01),基频微扰、振幅微扰在治疗后达到正常值范围;与对照组相比较,试验组患者的基频微扰、振幅微扰和标准化噪声能量治疗后差异也有显著统计学意义(均<0.01)。结论在功能性发音障碍治疗中,发声训练是一种有效治疗手段;应将药物治疗与发声训练相结合。

Objective To investigate the effect of voice training in the treatment of functional dysphonia.Methods 66 functional dysphonia patients, as the experimental group, were treayed with voice training and drugs, while 69 patients, as the control group, were treated with drugs only; and then the effects were contrasted.Parameters（Jitter、Shimmer、NNE） in both groups between pre-therapy and post-therapy were contrasted and analysed.Results After treatment, there were remarkable differences in parameters of experimental group（P0.01）, and voice parameters return to normal; there were significant differences between experimental group and control group at the parameters（P0.01）.Conclusions Voice training is an effective way to functional dysphonia.Medicine should be combined with voice training in voice therapy.