运动针刺联合嗓音训练治疗声带小结的临床研究

目的]观察运动针刺联合嗓音训练治疗声带小结的临床疗效.方法]将50例声带小结患者随机分成治疗组和对照组,每组各25例.治疗组给予运动针刺配合嗓音训练治疗,对照组给予口服金嗓散结丸治疗,疗程为8周.观察2组患者治疗前后症状评分、嗓音嘶哑评估GRBAS分级评分中的总嘶哑度评分、最长发声时间(MPT)的变化情况,比较2组...

Clinical Study on Motion Acupuncture Combined with Voice Training in Treating Patients with Vocal Nodules

Objective To observe the clinical efficacy of motion acupuncture combined with voice training for the treatment of patients with vocal nodules.Methods Fifty patients with vocal nodules were randomly divided into treatment group and control group,with 25 cases in each group.The patients in the treatment group were given motion acupuncture combined with voice training,and the patients in the control group took Jinsang Sanjie Pills orally.The two groups were treated for 8 weeks.Before and after treatment,the changes in the scores of clinical symptoms,scores of the overall grade of hoarseness in the GRBAS(grade,roughness,breathiness,asthenia,strain of the voice)scale,and maximum phonation time(MPT)of the patients in the two groups were observed.After treatment,voice acoustic analysis indexes and the efficacy for laryngoscopy in the two groups were evaluated.Results(1)At the end of treatment,the scores of clinical symptoms in the treatment group were obviously decreased in comparison with those before treatment(P<0.05),and half a year after the treatment the scores of the clinical symptoms in the treatment group were obviously lower than those at the end of the treatment(P<0.05).In the control group,the scores of clinical symptoms showed no obvious changes before and after treatment(P>0.05).The intergroup comparison showed that the scores of clinical symptoms in the treatment group were obviously lower than those in the control group(P<0.05).(2)The scores of the overall grade of hoarseness in the GRBAS scale in the two groups at the end of the treatment were much lowered than those before treatment(P<0.05),and the scores in the treatment group half a year after the treatment were obviously lower than those at the end of the treatment(P<0.05).The intergroup comparison showed that the scores of the overall grade of hoarseness in the GRBAS scale in the treatment group were obviously lower than those in the control group(P<0.01).(3)After treatment,MPT in the treatment group was much prolonged in comparison with that before treatment(P<0.01),while the MPT in the control group showed no obvious changes(P>0.05).The intergroup comparison showed that the MPT in the treatment group was obviously prolonged in comparison with that in the control group(P<0.01).(4)After treatment,the voice acoustic analysis indexes of frequency perturbation quotient,amplitude perturbation quotient and harmonics to noise ratio in the treatment group were obviously lower than those in the control group(P<0.05).(5)At the end of the treatment and half a year after the treatment,the efficacy for laryngoscopy in the treatment group was 76.0%(19/25)and 84.0%(21/25),and was 28.0%(7/25)and 24.0%(6/25)in the control group.The intergroup comparison showed that the efficacy for laryngoscopy in the treatment group was superior to that in the control group,and the difference was statistically significant(P<0.05).Conclusion Motion acupuncture combined with voice training is effective and safe for the treatment of patients with vocal nodules,and the effect keeps steady.