喉部按摩法治疗功能性嗓音障碍的临床研究

目的探讨喉部按摩法在功能性嗓音障碍治疗中的意义。方法对33名功能性嗓音障碍患者进行喉部按摩治疗，比较分析其治疗前后平均言语基频（MSFF）、基频标准差（SD），基频微扰（Jitter）．振幅微扰（shimmer）、标准化噪声能量（NNE）5个参数的变化和症状改善情况。结果治疗后患者的平均言语基频，基频标准差、基频微扰．振幅微扰与治疗前相比均有极显著性差异（P〈0．01）。并达到正常值范围；而标准化噪声能量与治疗前相比无显著性差异（P〉O．05）。结论喉部按摩法对大多数功能性嗓音障碍有较好疗效；嗓音治疗中应将现代化的客观测量技术与传统治疗手段相结合。

Clinical research on the effects of laryngeal massage in the treatment of functional voicing disorder

Objective To investigate the effects of laryngeal massage for the treatment of functional voicing disorder. Methods Laryngeal massage was performed to treat 33 patients with functional voicing disorder and relevant parameters（MSSF, SD, Jitter, Shimmer and NNE） of patients were compared before and after the treatment. Results Significant differences were noted in MSSF, SD, Jitter and Shimmer before and after the treatment （P〈0.01） . These parameters were within the normal range after the treatment. However, no difference was observed in NNE （P〉0.05） before and after the treatment. Conclusion Laryngeal massage can be an effective therapy for most patients with functional voicing disorder. It is suggested that modern measurement techniques and traditional therapies be combined for more effective treatments.