中国临床康复2005，Vol.9Issue(12)：224-225,2.
心理疗法并呼吸训练治疗痉挛性发声障碍
Psychotherapy combined with breathing training on the treatment of spasmodic dysphonia
周涛 1雷培香 1屈季宁 1曹永茂1
作者信息
- 1. 武汉大学人民医院耳鼻咽喉-头颈外科,湖北省武汉市,430060
- 折叠
摘要
Abstract
BACKGROUND: The mechanism of spasmodic dysphonia(SD) is still unclear and lacks of confirmed diagnostic standards. Limited reports on the treatment mainly focused on botulinum toxin infiltration; recurrent laryngeal nerve section, and voice training, amongst which voice training has been considered as one of the ideal complementary therapeutic means for SD because of less side effects and complications.OBJECTIVE: To investigate the significance of voice training in the treatment of SD and provide a method for the clinical treatment.DESIGN: Clinical case analysis and retrospective study based on patients.SETTING: Department of otolaryngology and cerebral surgery in a university hospital.PARTICIPANTS: Thirty-six confirmed SD patients in Wuhan College affiliated Renmin Hospital from February 1985 to December 2002.METHODS: Psychological consultation combined with breathing and voice training was adopted to make patients breathe freely and coordinately, with breath pattern changed from deep chest breathing and reversal breathing to normal chest-abdominal combined breathing, which helped decreasing larynx muscle straining. All patients were followed up for one to two years and their therapeutic effects were assessed by normal phonation, improvement, and ineffectiveness.MAIN OUTCOME MEASURES: Assessment of therapeutic effects.RESULTS: All 36 SD patients achieved satisfactory outcomes after voice training, with SD completely recovered in 30 cases and obviously improved in 6 cases.CONCLUSION: Psychological consultation combined with voice training is an ideal approach for the rehabilitation of SD.关键词
痉挛性发声障碍/心理治疗/发声训练分类
医药卫生引用本文复制引用
周涛,雷培香,屈季宁,曹永茂..心理疗法并呼吸训练治疗痉挛性发声障碍[J].中国临床康复,2005,9(12):224-225,2.
