青春期突发性失声的诊断与干预效果分析

刘阳; 刘恒鑫; 李俊英; 李进让

doi:10.3969/j.issn.1672-4933.2023.03.005

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青春期突发性失声的诊断与干预效果分析

儿童嗓音障碍治疗 | 更新时间：2023-05-22

- 青春期突发性失声的诊断与干预效果分析
- Analysis of Diagnosis and Intervention Effect of Sudden Aphonia in Adolescence
- 中国听力语言康复科学杂志 2023年21卷第3期页码：242-245
- 作者机构：
  
  1.解放军总医院第六医学中心耳鼻咽喉头颈外科医学部北京 100853
  2.美国威斯康星大学麦迪逊分校访问学者
- 作者简介：
  
  刘阳本科主管技师；研究方向：嗓音医学
  李进让，E-mail：entljr@sina.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.03.005
  中图分类号：
- 纸质出版日期：2023-05-15，
  
  收稿日期：2023-04-01，
- 稿件说明：
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刘阳,刘恒鑫,李俊英等.青春期突发性失声的诊断与干预效果分析[J].中国听力语言康复科学杂志,2023,21(03):242-245.

LIU Yang,LIU Heng-xin,LI Jun-ying,et al.Analysis of Diagnosis and Intervention Effect of Sudden Aphonia in Adolescence[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(03):242-245.
刘阳,刘恒鑫,李俊英等.青春期突发性失声的诊断与干预效果分析[J].中国听力语言康复科学杂志,2023,21(03):242-245. DOI： 10.3969/j.issn.1672-4933.2023.03.005.

LIU Yang,LIU Heng-xin,LI Jun-ying,et al.Analysis of Diagnosis and Intervention Effect of Sudden Aphonia in Adolescence[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(03):242-245. DOI： 10.3969/j.issn.1672-4933.2023.03.005.

摘要

目的

探讨青春期突发性失声患者的诊疗方法及疗效。

方法

对4例青春期突发性失声患者的诊断、评估、治疗及疗效进行整理与分析。

结果

所有患者治疗前后的声学评估和主观听感知评估结果变化显著。患者的声压级和谐噪比较治疗前明显升高；基频、基频标准差、基频微扰、振幅微扰、清音比、嗓音中断比均较治疗前明显下降。治疗前所有患者G评分均为3分，治疗后均为0分。除患者甲外，所有患者的气息音和无力感评分均由3分降低至0分。治愈后3个月随访，所有患者均未复发。

结论

针对青春期突发性失声患者，嗓音行为学干预可以取得显著的治疗效果。

Abstract

Objective

To investigate the diagnosis and treatment of adolescent patients with sudden aphonia.

Methods

The diagnosis

evaluation

treatment and curative effect of 4 cases of adolescent aphonia were analyzed.

Results

The results of acoustical assessment and subjective auditory perception assessment changed significantly in all patients before and after treatment. The SPL and HNR of patients were significantly higher than those before treatment. The fundamental frequency(F0)

standard deviation of F0

jitter

shimmer

fraction of locally unvoiced frames

degree of voice breaks were significantly decreased compared with those before treatment. The G score of all patients was 3 points before treatment

and 0 points after treatment. The scores of Breathiness and Asthenia were reduced from 3 to 0 in all patients except patient A. After 3 months of follow-up

all patients had no recurrence.

Conclusion

For adolescent patients with sudden aphonia

voice behavior intervention can achieve significant therapeutic effect

and can be promoted in clinical diagnosis and treatment of this disease.

关键词

青春期突发性失声嗓音行为学治疗声学评估听感知评估

Keywords

Adolescent sudden aphoniaVoice behavioral therapyAcoustical assessmentAuditory perception assessment

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