徐丽娜,李峰,贾志阳,等.语音训练对125Ⅰ放射性粒子植入术后的青年舌癌患者语音清晰度的影响[J].中华物理医学与康复杂志,2023,45(9):791-796
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| 语音训练对125Ⅰ放射性粒子植入术后的青年舌癌患者语音清晰度的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2023.09.005 |
| 中文关键词: 舌癌 语音训练 语音清晰度 125Ⅰ放射性粒子植入 青年患者 |
| 英文关键词: Tongue cancer Speech training Intelligibility 125Ⅰ odine |
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| 中文摘要: |
| 目的 观察语音训练对125Ⅰ放射性粒子植入术后的青年舌癌患者语音清晰度的影响。 方法 选取行125Ⅰ放射性粒子植入术的青年舌癌患者50例，所有患者均于术后第二日开始康复训练，包括舌功能训练、异常语音矫正、网络平台辅助家庭训练和CSL生物反馈辅助训练。舌功能训练和异常语音矫正在住院期间完成，每日训练 1次，每次共0~40 min，连续训练1周后出院；网络平台辅助家庭训练和CSL生物反馈辅助训练均待患者出院后在家中完成，每日训练1次，每次各20~30 min。于语音训练前和语音训练1周后采集50例患者的时域波形图、语音频谱图和能量瀑布图，并于粒子植入术前、语音训练前和出院1、2、4、6个月后对50例患者进行语音清晰度（PI）评估。 结果 与语音训练前比较，患者语音训练1周后时域波形图中的异常波形消失，语音频谱图中的擦音乱纹区域明显改善，能量瀑布图特征中能量分布均匀，呈现正常语音规则起伏趋势。50例患者行125Ⅰ粒子植入术前的PI值为（39.92±8.46），语音训练前为（40.32±8.79），出院1、2、4、6个月后分别为（42.78±8.24）、（54.68±7.18）、（72.32±5.55）、（88.04±2.42），重复测量方差分析结果显示，出院2、4、6个月后的PI值与语音训练前为比较，差异均有统计学意义（P<0.01）。 结论 语音训练可显著改善125Ⅰ放射性粒子植入术后青年舌癌患者的语音清晰度。 |
| 英文摘要: |
| Objective To explore the benefits of speech training for young persons with tongue cancer after 125Ⅰ radioactive seed implantation. Methods Fifty young persons bearing a 125Ⅰ radioactive seed implanted to treat tongue cancer were given up to 40min of daily tongue function training beginning on the second day after the operation. Abnormal sounds were corrected in the seven days before their discharge. An online platform assisted further training in the family combined with biofeedback. Daily 20-30 minute sessions were prescribed. Time domain waveforms, speech spectra and energy waterfalls were recorded from the 50 subjects before the experiment and after 1 week of the speech training. Intelligibility (PI) was quantified before the operation and the speech training, and then 1, 2, 4 and 6 months after discharge. Results After 1 week of speech training abnormal waveforms had disappeared from the time domain waveform diagram. Fricative disturbance areas in the speech spectrum diagram had improved significantly, and the energy distribution in the energy waterfall diagram was balanced, showing a trend typical of normal speech fluctuation. The average PI before the operation (39.92±8.46) increased to (40.32±8.79) before the speech training and to (42.78±8.24) one month after discharge. It then continued to improve to (72.32±5.55) 6 months after discharge. Conclusion Speech training can significantly improve the speech intelligibility of patients with tongue cancer after 125Ⅰ radioactive seed implantation. |
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