儿童声带小结嗓音障碍及干预策略的研究进展

Research progress of intervention strategies on voice disorders in children with vocal nodules

儿童声带小结又称喊叫小结,是引起声音嘶哑的常见原因,常发生于双侧声带前中1/3,呈对称性结节样隆起的良性增生性病变[1]。长期过度或不科学用声等多重激发因素,使声带反复处于紧张状态,造成声带黏膜机械性损伤,血液和渗出液积聚在Rienke间隙,形成声带小结[2]。声带小结导致的声音嘶哑不仅影响了儿童的身心健康,还对家人的生活起到了消极的影响[3]。

Summary Vocal nodules in children is one of the common diseases in children, characterized as the hoarse voice of the children,which is mainly due to improper use of sound long-term or excessive use of the voice. The hoarseness of children＇s voice undermine not only the physical and mental health of children, but also the quality of life of children and their families. In recent years, the incidence of vocal nodules in children has been increasing. There are considerable differences between the children＇s own characteristics and adults such as bronchial lumen and cognitive and cooperate aspects, which lead to a large number of difficulties for clinical diagnosis and interven- tion. Based on a large number of literatures, this paper reviews the risk factors, diagnosis, voice assessment and intervention strategies of vocal nodules in children, , in order to provide more comprehensive reference for the medical workers.