综合护理干预联合药物治疗对声带良性病变患者嗓音恢复的影响

Effect of comprehensive nursing intervention combined with drug therapy on voice recovery in patients with benign vocal cord lesions

目的观察综合护理干预联合药物治疗对声带良性病变患者嗓音恢复的影响。方法随机将2019年1月—2019年11月在天津医科大学第二医院耳鼻咽喉科诊断为声带良性病变的82例患者分成A、B两组,A组(41例),单纯口服金嗓散结胶囊1个月;B组(41例),在A组的基础上实施综合护理干预,包括心理干预、情绪及行为干预、禁烟酒、休声、嗓音训练等。通过Xion声学分析软件对两组患者治疗前后的嗓音基频微扰(jitter)、振幅微扰(shimmer)、噪谐比(NHR)进行测试,并比较两组结果。采用嗓音障碍指数-30(VHI-30)量表评估A、B两组患者治疗前后的嗓音情况,并比较两组评分情况。通过纤维喉镜检查比较两组患者的治疗有效率。结果两组患者治疗1个月后jitter、shimmer、NHR值及VHI-30评分均较治疗前改善,B组患者较A组改善更明显(P<0.05)。纤维喉镜检查发现B组患者治疗有效率高于A组。结论综合护理干预联合药物能显著改善声带良性病变患者的嗓音质量。

Objective To observe the effect of comprehensive nursing intervention combined with drug therapy on voice recovery in patients with benign vocal cord lesions.Methods Eighty-two patients with benign lesions of vocal cords were randomly divided into groups A and B.In group A,41 patients took Jinsangsanjie capsule orally for 1 month.In addition to oral administration of Jinsangsanjie capsule,the 41 patients in group B received comprehensive nursing intervention,including psychological intervention,emotional and behavioral intervention,alcohol prohibition,voice rest,voice training,etc.Before and after treatment,the acoustic analysis software Xion was used to test the jitter,shimmer and noise to harmonic ratio(NHR),voice handicap index-30(VHI-30)scale to score the voice condition,and fibrolaryngoscopy to compare the effective rate between both groups.Results After 1 month of treatment,jitter,shimmer,NHR value and VHI-30 score of the two groups were all improved compared with those before treatment.The improvements in group B were more obvious than,those in the group A(P<0.05).Fiberlaryngoscopy showed that the effective rate of group B was higher than that of group A.Conclusion Comprehensive nursing intervention combined with drug therpy can significantly improve the voice quality of patients with benign vocal cord lesions.