基于ICF和ICHI声带息肉患者术后发声功能康复训练的效果

目的 探讨基于《国际功能、残疾和健康分类》(ICF)和《国际健康干预分类》(ICHI)构建发声功能康复训练对改善声带息肉术后发声功能的效果。 方法 基于ICF和ICHI设计言语嗓音功能整体康复干预方案。2017年1月至2018年12月,声带息肉伴有发声功能障碍手术治疗患者30例,分别于术前、术后、康复训练1个月后,采用嗓音嘶哑分级评估(GRBAS)进行评估,采用嗓音疾病评估仪检测声学参数。 结果康复训练1个月后,患者GRBAS评分较术前和术后均降低(F > 6.214, P< 0.05);患者基频、基频微扰、振幅微扰和标准化噪声能量较术前和术后均降低(F > 9.655, P< 0.05)。 结论 基于ICF和ICHI的发声功能康复训练能有效改善声带息肉术后患者的发声功能。

Vocal Training for Patients Post Vocal Cord Polyp Surgery Based on ICF and ICHI

Objective To explore the effect of vocal training based on International Classification of Functioning,Disability and Health(ICF)and International Classification of Health Interventions(ICHI)on vocal function after vocal cord polyps.Methods A framework of rehabilitation was developed with joint use of ICF and ICHI.From January,2017 to December,2018,30 patients with vocal cord polyps and vocal dysfunction post operation were sampled.They accepted the therapy for a month,and assessed with Grade,Roughness,Breathiness,Asthenia and Strain scale(GRBAS),and measured acoustic parameters before and after operation,and after training,respectively.Results The scores of GRBAS decreased after training,compared with those both before and after operation(F>6.214,P<0.05),as well as the acoustic parameters of fundamental frequency,fundamental frequency perturbation,normalized noise energy and amplitude perturbation(F>9.655,P<0.05).Conclusion Vocal training based on ICF and ICHI is effective on vocal function after operation for vocal cord polyps.