不同声音治疗声息肉的有效性:系统性审查和元分析
Ben Barsties V Latoszek1, Christopher R Watts2, Svetlana Hetjens3
1Speech-Language Pathology, SRH University of Applied Health Sciences, 40210 Düsseldorf, Germany.
Journal of clinical medicine
|May 27, 2023
概括
行为语音疗法 (VT),声外科手术和联合治疗 (CT) 都对声息肉 (VFP) 有效. 声外科和CT为VFP症状和语音质量提供了最大的改善.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语音语言病理学
- 声音科学 声音科学
背景情况:
- 声多 (VFP) 是声音障碍的常见原因之一.
- 目前的治疗方法包括行为语音疗法 (VT),声外科手术或联合治疗 (CT).
- 这些VFP治疗的比较有效性仍然不清楚.
研究的目的:
- 为了比较VT,声外科手术和CT治疗声多的疗效.
- 通过听觉感知,空气动力学,声学和患者感知障碍的措施来评估治疗结果.
主要方法:
- 进行了对VFP治疗临床试验的系统审查.
- 搜索包括三个数据库和手动搜索,截至2022年10月.
- 符合条件的研究报告了听觉感知,空气动力学,声学和患者感知障碍的结果.
主要成果:
- 包括31项研究,分析了静脉治疗 (n=47-194),声外科手术 (n=404-1039) 和CT (n=237-350).
- 所有治疗都显示出大效果大小 (d > 0.8) 和显著的语音参数改善 (p < 0.05).
- 声外科在减少粗和NHR方面表现出色;CT改善了声,动,闪,MPT和VHI-30物理子表.
结论:
- 音声外科和联合治疗 (CT) 与单独的行为语音疗法 (VT) 相比,显示出更好的结果.
- 这三种方法都有效地解决了声的息肉和相关的声音障碍.
- 这些发现可以指导声息肉管理的临床决策.
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