Analysis of the Effect of Intensive Voice Training on Patients with Vocal Nodules

LIU Yao-feng; XIAO Xu-ping; MA Li-juan; PENG Tao

doi:10.3969/j.issn.1672-4933.2025.05.009

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Analysis of the Effect of Intensive Voice Training on Patients with Vocal Nodules

Clinical Research | 更新时间：2026-07-30

- Analysis of the Effect of Intensive Voice Training on Patients with Vocal Nodules
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 5, Pages: 487-490(2025)
- 作者机构：
  
  湖南省人民医院/湖南师范大学附属第一医院耳鼻咽喉头颈外科长沙 410005
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.05.009
  CLC： G762
- Received：05 September 2023，
  
  Online First：11 September 2025，
  
  Published：15 September 2025
- 稿件说明：
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刘耀凤,肖旭平,马丽娟等.强化嗓音训练对声带小结患者康复疗效评估[J].中国听力语言康复科学杂志,2025,23(05):487-490.

LIU Yao-feng,XIAO Xu-ping,MA Li-juan,et al.Analysis of the Effect of Intensive Voice Training on Patients with Vocal Nodules[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(05):487-490.
刘耀凤,肖旭平,马丽娟等.强化嗓音训练对声带小结患者康复疗效评估[J].中国听力语言康复科学杂志,2025,23(05):487-490. DOI： 10.3969/j.issn.1672-4933.2025.05.009.

LIU Yao-feng,XIAO Xu-ping,MA Li-juan,et al.Analysis of the Effect of Intensive Voice Training on Patients with Vocal Nodules[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(05):487-490. DOI： 10.3969/j.issn.1672-4933.2025.05.009.

摘要

目的

探讨嗓音训练对声带小结患者的治疗效果，探寻优化的嗓音训练方案。

方法

选取本院2022年5月～2022年11月声带小结患者80例，随机分为甲组（短期强化训练）和乙组（长期间断训练）各40例。甲组每天训练1小时，连续4天的短期强化嗓音训练；乙组每周2次，每次30分钟，持续4周的长期间断嗓音训练。随访过程中甲组脱落3例，乙组脱落2例，最终纳入75例有完整随访资料的声带小结患者。比较两组患者治疗前后嗓音障碍指数（voice handicap index， VHI）、嗓音障碍视觉模拟量表（visual analog scale，VAS）、嗓音听感知评估（glasgow voice disorder scale，GRBAS）和嗓音声学分析等指标。

结果

训练8周后，两组VHI、VAS和GRBAS评分均比训练前显著降低（

0.05），嗓音声学分析中最长发声时间（maximum phonation time，MPT）比治疗前显著上升（

0.05），jitter和shimmer较治疗前显著下降（

0.05）；甲组训练后VAS、嗓音障碍指数功能评分（VHI fonction，VHI-F）、嗓音障碍指数总体评分（VHI total，VHI-T）评分、总嘶哑度（grade，G）、粗糙声（roughness，R）、jitter和shimmer较乙组下降更显著（

0.05），甲组MPT值提高较乙组更显著（

0.05）。

结论

嗓音训练对声带小结患者嗓音康复有效，短期强化嗓音训练较长期间断嗓音训练患者依从性更高，疗效更好。

Abstract

Objective

The aim of this study was to examine the therapeutic effect of voice training on vocal nodules patients

and to explore a more optimized vocal training program.

Methods

Selected 80 vocal nodules patients in our hospital from May 2022 to November 2022

and randomly divided them into Group A of Short-term intensive voice training and Group B of long-term intervals voice training Group A was treated 1 hour a day for 4 consecutive days and Group B was 30 minutes twice a week for 4 weeks.During the follow-up

3 cases of vocal nodulation in Group A and 2 case in Group B fell off.75 patients with complete follow-up data were included for analysis.Compare VHI

VAS

assessment of hoarseness (GRBAS) and acoustic analysis of voice between the two groups before and after treatment

Results

Two groups of patients were trained in voice.VAS

VHI

GRBAS scores were lower than those before the treatment(

0.05).The maximum vocalation time(MPT) was higher before the treatment(

0.05)

while Jitter and Shimmer were lower before the treatment(

0.05).VAS

VHI-F

VHI-T Grade

Roughness

Jitter and Shimmer cores in the Group A were significantly lower than those in the Group B (

0.05).MPT in Group A was higher compared with this in the Group B(

0.05).

Conclusion

Voice training is effective for voice rehabilitation in patients with vocal nodules.Short-term intensive voice training is better than long-term voice training

which makes patients have higher compliance and better curative effect.

关键词

Keywords

references

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