强调腹呼吸的声带息肉简单发声训练方法

T. Kusunoki
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摘要

背景:我们设计了一种简单的声音训练方法,强调腹部呼吸。语音治疗被认为是声带小结的首选。以前,我们的语音训练方法被证明可以改善所有声带结节的病例。一些医院选择手术治疗声带息肉。我们的声音训练方法用于声带息肉,包括术后复发的病例。对象与方法:25例声带息肉经保守治疗均无好转。其中6例(25例)术后复发。所有病例均采用我们的语音训练方法进行治疗,在语音训练期间不使用其他治疗方法(如沉默疗法、药物治疗、手术)。在我们的门诊部,声音治疗是通过一种简单的声音训练方法进行的,这种方法依赖于腹部呼吸。在家庭训练课程中,所有患者都接受我们的语音训练手册,每天练习2 - 3次,每次10分钟。此外,我们指示他们如下。当患者在日常谈话中遇到紧张的发音时,他们通过腹呼吸呼气来纠正为自然放松的发音。在初次访问后,每个月安排进行后续评估。结果:25例声带息肉患者中,19例症状消失(15)或减轻(4),好转的11例(19)在3个月内症状消失(8)或减轻(3)。在术后声带息肉复发的病例中,6例中有4例(66.7%)在使用我们的声音训练方法后声带消失(2)或缩小(2)。结论:本文所提出的声音训练方法对声带息肉有一定的改善作用。因此,对于一些声带息肉和声带结节的病例,这种方法应是首选。
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A Simple Voice Training Method for Vocal Fold Polyps that Emphasizes Abdominal Respiration
Background: We have devised a simple voice training method that emphasizes the abdominal type of respiration. Voice therapy is considered the first choice for vocal fold nodules. Previously, our voice training method was demonstrated to improve all cases with vocal fold nodules. Some hospitals have selected surgical therapy for vocal fold polyps. Our voice training method was employed for vocal fold polyps, including cases with postoperative recurrence. Subjects and methods: None of the 25 cases of vocal polyps had improved from conservative therapy. Six of our cases (25) were postoperative recurrence. All cases were treated by our method of voice training alone using no other therapy (e.g., silence therapy, medication, surgery) during the voice training period. At our out-patient clinic, voice therapy was administered using a simple voice training method that relies on the abdominal type of respiration. Concerning the home training course, all patients received our voice training manual and exercised twice or three times-daily for 10 minutes. Moreover, we instructed them as follows. When patients experience stressed phonation during daily conversation, they corrected to naturally relaxed phonation by exhaling with abdominal respiration. Follow up evaluations were scheduled for every month after their initial visit. Results: In 19 of 25 cases with vocal polyps, the symptoms had disappeared (15) or reduced (4). Eleven of the improved cases (19) showed disappearance (8) or reduction (3) within 3 months. In those with postoperative recurrence of a vocal fold polyp, four of six cases (66.7 %) showed disappearance (2) or reduction (2) after using our method of voice training. Conclusion: These results suggest that our method of voice training could improve many cases with vocal fold polyps. Therefore, this method should be the first choice for some cases with vocal fold polyps as well as vocal fold nodules.
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