系统性嗓音训练对甲状腺术后无喉返神经损伤患者语言功能的影响

Effect of Systemic Voice Training on Language Function in Patients without Recurrent Nerve Injury after Thyroid Surgery

目的:探讨系统性嗓音训练对甲状腺术后无喉返神经损伤患者语言功能的影响。方法:将2020年1月1日~2021年1月31日收治的84例行甲状腺手术治疗且术后无喉返神经损伤的患者随机分对照组和观察组各42例。对照组采用常规护理干预,观察组在对照组基础上采用系统性嗓音训练。比较两组客观嗓音声学参数和主观嗓音质量评分[采用嗓音障碍指数量表(VHI)]。结果:观察组基频(Fo)、嗓音障碍严重指数(DSI)、最长发音时间(MPT)高于对照组(P<0.01),且基频微扰(jitter)、振幅微扰(shimmer)低于对照组(P<0.05);观察组VHI各项评分及总分均低于对照组(P<0.01)。结论:对甲状腺术后无喉返神经损伤患者采用系统性嗓音训练干预,可改善患者嗓音声学参数,提升患者主观嗓音质量,促进患者语言功能恢复。

Objective:To explore the effect of systemic voice training on the language function in patients without recurrent laryngeal nerve injury after thyroid surgery.Methods:A total of 84 patients without laryngeal nerve injury after thyroid surgery admitted during January 1,2020 to January 31,2021 were divided into the control group and the observation group,with 42 cases in each group.The control group received routine care intervention,and the observation group received systemic voice training.Comparison was made on the objective voice acoustic parameters and subjective voice quality scores using voice handicap index scale(VHI).Results:The Fo,DSI,and MPT in the observation group were higher than those in the control group,Jitter and Shimmer in the observation group were lower than those in the control group(P<0.05).The scores and total scores of the three dimensions of VHI in the observation group were lower than those in the control group(P<0.05).Conclusion:Systemic voice training in patients without recurrent laryngeal nerve injury after thyroid surgery can improve the patients′voice acoustic parameters,enhance their subjective voice quality,promote the recovery of their language function.