嗓音训练配合颈三线按摩法治疗声带小结

目的：总结嗓音训练配合颈三线按摩法治疗声带小结的临床疗效及安全性。方法将25例声带小结患者纳入临床观察，对患者治疗前后嗓音障碍指数量表（VHI）、计算机嗓音分析、频闪喉镜检查、最长发声时间（MPT）进行评估。结果 VHI 治疗前为（39.41±18.45），治疗后为（19.29±20.39），前后对比有统计学意义；jitter、shimmer、NHR 治疗前分别为（0.61±0.52）、（3.78±1.14）、（0.212±0.014），治疗后分别为（0.20±0.31）、（1.98±1.07）、（0.109±0.025），前后对比有统计学意义。结论嗓音训练配合颈三线按摩治疗声带小结，能增强颈、喉及胸部肌群的协调性，延伸患者发声时间，安全有效。

Vocal nodules treated by voice training and three line massage neck

Objective To summerize the clinical researching results of vocal nodules treated by vocie training and three line massage neck and judge it's clinical therapeutic effects. Methods We take 25 cases with vocal nodules in-to clinical trials,then observe the therapeutic effects of the cases,include VHI,Computer voice analysis,Stroboscopy, MPT and make statistical analysis. Results VHI for(39. 41 ± 18. 45)before treatment and after treatment for (19. 29 ± 20. 39),before and after the contrast was statistically significant;Jitter,shimmer,NHR respectively before treatment(0. 61 ± 0. 52),(3. 78 ± 1. 14),(0. 212 ± 0. 014),after treatment respectively(0. 20 ± 0. 31),(1. 98 ± 1. 07),(0. 109 ± 0. 025),before and after the contrast was statistically significant. The therapeutic effect indexes are superior to prior treatment. Conclusion The treatment method of needling No. 1 Kaiyin points and Jingjiaji points mainly is safe and effective on treating vocal nodules.