痉挛性发声障碍的康复训练

目的 探讨康复训练治疗痉挛性发声障碍的疗效及意义。方法 采用心理疗法、针灸疗法、呼吸及发声功能训练等综合手段促使患者呼吸器官随意性运动协调，变高位呼吸、逆呼吸为正常的胸腹联合式呼吸，降低患者喉肌张力。结果 36例痉挛性发声障碍患者经过上述综合康复训练后，均取得了满意效果，其中30例患者痊愈，6例患者好转，治愈率达83．3％。结论综合应用心理疗法、针灸疗法、呼吸及发声功能训练等是痉挛性发声障碍患者较理想的康复训练方法。

The vocal rehabilitation training for patients with spasmodic dysphonia

Objective To explore the effect of vocal rehabilitation training on patients with spasmodic dys- phonia. Methods Thirty-six patients with spasmodic dysphonia were recruited, and psychotherapy, acupuncture, respiratory and vocal training were performed according to the patients condition to improve the coordination of the vo- cal organs. Interventions were also employed to convert the patients reverse or high locational pattern of respiration in- to the normal associated chest and abdomen respiration, so as to reduce the tone of the laryngeal muscle. Results Satisfactory effects were achieved by the rehabilitation training. 30 out of 36 cases recovered and the other 6 cases im- proved. Conclusion It indicated that the comprehensive vocal rehabilitation should be adopted for the treatment of patients with spasmodic dysphonia.