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目的观察药物联合嗓音训练治疗声带小结的临床效果。方法将声带小结患者80例单纯采用嗓音训练治疗的患者40例为单一组,采用药物联合嗓音训练治疗的患者40例为联合组。比较2组患者的临床疗效。对比2组患者治疗前后自我评估嗓音相关生活质量检测值、嗓音障碍指数、最长发声时间、标准化噪音能量、振幅微扰、基频微扰的差异。结果联合组总有效率为92.50%高于单一组的75.00%(P<0.05);与治疗前比较,治疗后2组嗓音相关生活质量检测值、嗓音障碍指数、振幅微扰和基频微扰降低,最长发声时间延长,标准化噪音能量增大,且联合组变化幅度优于单一组,差异均有统计学意义(P<0.05)。结论药物联合嗓音训练治疗声带小结的临床效果确切,可有效改善患者病情,促进声带小结缩小,改善发音功能,值得推广。
Objective To observe the clinical effect of combined vocal training on vocal nodules. Methods A total of 40 patients with vocal cord training in 80 patients with vocal nodules were treated as a single group. Forty patients with drug-combined vocal training were treated as a combined group. The clinical effects of two groups were compared. The difference of self-assessment voice-related quality of life, voice disturbance index, longest vocalization time, normalized noise energy, amplitude perturbation and fundamental frequency perturbation were compared between the two groups before and after treatment. Results The total effective rate in the combined group was 92.50%, which was higher than that in the single group (75.00%, P <0.05). Compared with before treatment, the voice quality of life, the voice disturbance index, amplitude perturbation and the fundamental frequency perturbation Decrease, the longest sounding time prolonged, the standard noise energy increased, and the amplitude of the combined group was better than that of the single group. The differences were statistically significant (P <0.05). Conclusion The combination of medicine and vocal training for the treatment of vocal nodules has an exact clinical result, which can effectively improve the patient’s condition, promote the reduction of vocal nodules and improve the pronunciation function, which is worthy of promotion.