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背景:目前痉挛性发声障碍病因不明,缺乏统一明确的诊断标准,故治疗较为困难,关于该病的治疗有限的报道主要是喉部肉毒杆菌毒素注射,喉返神经切断,发声语言训练等,其中后一种方法无副作用及并发症,是较为理想的治疗及辅助治疗手段之一。目的:探讨发声训练治疗痉挛性发声障碍的意义,为该病的临床治疗提供一种简便易行的方法。设计:以患者为研究对象,病例分析、验证性研究。单位:一所大学医院的耳鼻咽喉-头颈外科。对象:1985-02/2002-12武汉大学人民医院耳鼻咽喉科确诊的36例痉挛性发声障碍患者为治疗对象。方法:采用心理疗法和呼吸及发声功能训练使患者呼吸器官随意运动协调,变高位呼吸和逆呼吸为正常的胸腹联合式呼吸,降低喉肌张力,以发声正常、好转、无效为疗效判定标准,全部病例随访一两年。主要观察指标:疗效评估结果。结果:36例痉挛性发声障碍患者,经上述发声康复训练后,均取得满意的效果,其中30例患者发声恢复正常,6例好转。结论:心理疗法和呼吸及发声功能训练是痉挛性发声障碍康复训练较理想的方法。
BACKGROUND: At present, the etiology of spasmodic vocal dysfunction is unclear and there is a lack of uniform and definite diagnostic criteria. Therefore, the treatment is relatively difficult. The reports on limited treatment of the disease mainly include botulinum toxin injection in the throat, recurrent laryngeal nerve, vocal language training, One of the latter method without side effects and complications, is the ideal treatment and adjuvant therapy. Objective: To explore the significance of vocal training in the treatment of spasmodic vocal dysfunction and to provide a simple and convenient method for the clinical treatment of the disease. Design: Patients as the research object, case analysis, confirmatory research. Unit: a university hospital otolaryngology - head and neck surgery. PARTICIPANTS: Thirty-six patients with spasmodic dysphonia diagnosed by Department of Otolaryngology, Wuhan University People’s Hospital from February 1985 to February 2002 were treated. Methods: Using psychological therapy and breathing and vocal function training to make the patient’s respiratory organs free movement coordination, high respiration and reverse respiration as the normal thoracoabdominal combined breathing, reduce the tension of the larynx to normal sound, improve, ineffective criteria for the determination of efficacy All patients were followed up for a year or two. MAIN OUTCOME MEASURES: Efficacy Assessment Results. Results: Thirty - six patients with spasmodic vocal dysfunction achieved satisfactory results after the vocal rehabilitation training. Among them, 30 patients returned to normal sound and 6 patients improved. Conclusion: Psychotherapy and breathing and vocal function training is a better method of rehabilitation training for spasmodic dysphonia.