摘要
目的探讨术后发声量化训练在声带息肉患者术后康复中的应用效果。方法 2014年1月至2016年7月便利抽样法选择上海市某三级甲等医院日间手术病房收治的行声带息肉手术治疗的患者90例为研究对象。采用随机奇偶数字表分配方法将其分为对照组和观察组各45例。对照组采用常规护理模式,观察组在常规护理基础上进行量化的发声训练。比较两组患者干预前后客观评价指标:最长声音持续时间(Most rise time,MRT)、最高基频(fundamental frequency,FOmax)、最低音强(Sound Power Level,SPLmin)、振幅微扰(Amplitude perturbation,Shimmer)、基频微扰(Fundamental frequency perturbation,Jitter)、嗓音障碍客观指数(Dysphonia severity index,DSI);同时对比两组患者主观评价指标:嗓音嘶哑分级(Grade,Roughness,Breathiness,Asthenia and Strain scale,GRBAS)和自我评估嗓音指数(voice handicap index,VHI),并调查患者对发声训练的满意度。结果干预前两组患者在MRT、FOmax、SPLmin、Shimmer、Jitter、DSI以及GRBAS分级各项指标、VHI比较差异均无统计学意义(均P>0.05)。干预后,观察组与对照组比较在DSI、MRT、FOmax等指标差异均有统计学意义(均P<0.05);观察组患者GRBAS分级中B、R、C数值均明显低于对照组,差异均有统计学意义(均P<0.05);VHI较对照组低,差异有统计学意义(P<0.05)。结论发声量化训练与常规发声量化训练相比,能促进患者定时定量完成发声训练,能有效改善其术后嗓音质量,提高患者满意度。
Objective To analyze the application effects of perioperative acoustic quantification training in the rehabilitation of polyp of vocal cord after operation.Methods By convenience sampling,90 cases were selected and randomly divided into control group and observation group,with 45 cases in each group.The control group received routine nursing model,while the observation group received acoustic quantification training on the basis of routine nursing.The obj ective evaluation indexes before and after intervention：most rise time （MRT）,fundamental frequency（FOmax）,sound Power Level（SPLmin）,Amplitude perturbation（Shimmer）,fun-damental frequency perturbation（Jitter）and dysphonia severity index（DSI）were compared.The subj ective evalua-tion indexes：GRBAS scale（GRBAS）and Voice handicap index（VHI）were compared.The patients＆#39;satisfaction of a-coustic quantification training was investigated.Results There was no statistical significance of MRT,FOmax, SPLmin,Shimmer,Jitter,DSI,GRBAS indexes and VHI found before the intervention between two groups（all P〉0.05）.After intervention,the statistical significance of DSI,MRT and FOmax were found between two groups（all P〈0.05）.The B,R,C index of GRBAS in observation group were significantly lower than which in control group（all P〈0.05）,and the VHI was lower than control group（P〈0.05）.Conclusions Compa-ring with normal acoustic quantification training,acoustic quantification can promote patients to complete the training in time,and can improve patients＆#39;voice quality and their satisfaction level.
作者
王秋涵
顾倩
Wang Qiuhan Gu Qian(Ambulatory Surgery Ward, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, Chin)
出处
《解放军护理杂志》
CSCD
2017年第4期12-15,25,共5页
Nursing Journal of Chinese People's Liberation Army
基金
复旦大学附属华山医院科研启动基金(2014QD24)
关键词
声带息肉手术
发声量化训练
康复
嗓音质量
vocal cords polyp surgery
acoustic quantification training
rehabitation
voice quality
