声手术后的语音休息:对疗效,持续时间和合规性的系统审查
A Aldaihani1, V Kuta2, U Alamodi3
1Department of Surgery, Dalhousie University, 5820 University Avenue, 3Rd Floor Dickson Building, Room 3184, Halifax, NS, B3H 2Y9, Canada. aldaihani@dal.ca.
概括
声带手术后的声休息 (VR) 可能会改善语音质量,但需要更多的研究. 这次系统审查发现了好处,但目前的证据不足以提供关于VR使用的最终指导方针.
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
背景情况:
- 语音休息 (VR) 是声带手术后的一个常见建议.
- 支持其有效性的经验证据有限.
- 本次审查评估了VR在恢复和结果中的作用.
研究的目的:
- 系统地审查随机对照试验 (RCT) 在声带手术后声休息.
- 评估声乐休息对术后恢复和语音质量的影响.
主要方法:
- 对RCT进行系统审查,比较声乐休息与没有声乐休息.
- 在多个数据库中进行了搜索 (PubMed,Medline,科学网,Embase,Cochrane,谷歌学者).
- 使用视觉模拟量表 (VAS) 分析语音质量和语音障碍指数 (VHI) 的结果.
主要成果:
- 五个RCT符合纳入标准;VR持续时间不同 (3-7天).
- 随着声乐休息,观察到VAS和VHI得分的显著改善.
- 研究设计中的异质性和样本大小有限的概括性.
结论:
- 声乐休息可以提高术后恢复和主观语音质量.
- 目前的证据不足以确定VR作为术后护理的最终组成部分.
- 需要大型的多中心RCT来制定基于证据的声乐休息指南.
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