在甲状腺切除术后患有单侧声麻的患者中,使用非声声练习的早期语音治疗干预的效果:一项随机临床试验
Ylenia Longobardi1, Giorgia Mari1, Rosa Libero2
1Complex Operative Unit of Otolaryngology, Department of Aging, Neurological, Orthopedic and Head and Neck Sciences, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
概括
在患有单侧声麻 (UVFP) 的患者中,早期的非声运动显著改善了喉关闭和声功能. 这种管理策略有助于喉关节的功能,并可以防止补偿性语音行为.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和语言病理学 语言病理学
- 康复医学 康复医学 康复医学
背景情况:
- 阳性单侧声麻 (UVFP) 可能是像全甲状腺切除术这样的外科手术的结果.
- 有效的管理策略对于恢复声功能和预防长期声音损伤至关重要.
研究的目的:
- 评估早期非声器运动对UVFP患者关闭的影响.
- 评估这些练习与标准护理相结合的有效性.
主要方法:
- 一项随机临床试验,涉及20名患有甲状腺切除术后UVFP的患者.
- 患者被分配到一个实验组 (非声器运动+皮质素) 或一个对照组 (仅皮质素).
- 视频鼻镜,声学分析,感知评估和最大音声时间 (MPT) 用于在多个时间点进行评估.
主要成果:
- 与对照组相比,实验组在一周后显示出喉间隙和MPT的显著改善.
- 在治疗结束时,实验组表现出较低的最低频率和感知"不稳定性"得分的改善.
结论:
- 在UVFP患者中,早期实施非声声练习可以增强喉关节功能和声 adduction.
- 这种方法减少了音声的努力,并可能防止有害的补偿声乐策略的发展.
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