阿克森疗法对声带息肉术后嗓音功能恢复的主客观评估

摘要

Objective To evaluate the voice rehabilitation effect promoted by Akson therapy on cases following vocal cord polyp surgically removed. Methods Sixty cases with vocal cord polyps, with their lesions removed microsurgically under self-retaining laryngoscope and diagnosed pathohistologically, were randomly divided into 2 groups following the surgery, with 30 patients in each group. Cases in treating group (TG) were given a post-operative voice rehabilitation therapy combined routine basic nursing and post-operative treatment procedures with Akson therapy for 3 months, while those in control group (CG) were only given routine treating program with basic nursing and post-operative treatment procedures. All these cases were followed up for one year after their operation. When following up period ended, they were examined to test such parameters as voice handicap index (VHI), GRBAS and maximum phonation time(MPT) for voice rehabilitation level evaluated both objectively and subjectively in a comparative way between these 2 groups. Results By the end of following up period, 18 patients in TG and 20 in CG were collected with full clinical information. As determined by both objective and subjective evaluating ways, there were significantly statistic significance in the therapeutic effect difference between TG and CG at the testing point one year following the operation, with much higher effective rate of TG than that of CG (P< 0.05). Conclusions Akson therapy is a much better voice rehabilitation therapy for voice recovery of patients following vocal cord polyp surgically removed. The voice function evaluating system, including VHI, GRBAS and MPT, can be used to assess patient's level of voice function both objectively and subjectively.%目的 评估阿克森疗法促进声带息肉术后患者嗓音功能恢复过程的效果.方法 支撑喉镜下显微手术切除声带息肉并经病理组织学确诊的患者60例,随机分为2组,每组30例. 治疗组患者术后在常规护理及术后处理基础上加行阿克森疗法3月以促进嗓音恢复治疗, 对照组患者在术后仅行常规护理及术后处理, 随访观察1年; 随访期结束时, 均行嗓音障碍指数(VHI)、GRBAS、最大发音时间(MPT)检查,分别从主、客观角度对比分析2组患者术后嗓音功能恢复程度. 结果 随访结束时,有完整嗓音资料的治疗组患者18例,对照组患者20例. 3种主客观评估方法评估结果显示,二组术后1年时的有效率差异均有统计学意义(P<0.05). 结论 阿克森疗法对声带息肉术后嗓音功能恢复具有确切效果;嗓音障碍指数、最大声时和GRBAS评估系统能同时进行嗓音功能恢复水平的主观及客观评估.