_for voice disorder 针灸治疗声带病变课件.ppt

Acupuncture for voice disorder針灸治療聲帶病變 This project was funded by a grant from the Seed Grant University of Hong Kong 2001. 此研究計畫經費由香港大學研究基金資助 2. Department of Otolaryngology, Nanjing Medical University 1. Voice Research Laboratory, Division of Speech Hearing Sciences, The University of Hong Kong 2. Department of Otolaryngology, Nanjing Medical University 3. College of Physicians Surgeons, Columbia University 4. Department of Surgery, The University of Hong Kong Background 背景 About 6% of population have voice problems人口中有大概百分之六（6%）有聲線毛病 Most are caused by vocal misuses and abuses with pathological changes in the vocal folds(e.g. vocal nodules, ployps)大部份是由用聲不當或濫用引起的聲帶病變(如小結和息肉) Teachers, housewives are particularly prone to voice problems教師和家庭主婦是最容易患聲線毛病 Background 背景 Surgical treatment for these functional voice problems is usually not successful because of recurrence對這些病例，外科切割手術一般成效不大，主因是病變容易復發 These functional voice problems can usually be treated by conservative voice exercise聲線訓練是現時主要治療方法 Background 背景 20% of patients with voice problems show no improvement after voice exercise and surgery (Woo et al, 1994)但外科手術或聲線訓練對百分之二十（20%）的患者沒有療效 Also, voice therapy takes some time to achieve results加上聲線訓練要一段時間才見療效 Therefore, many explore for alternative treatment, such as Traditional Chinese Medicine所以有很多人轉向尋求傳統中醫療法，希望能在短時間見到療效 Objectives　研究目的 This study investigates the effectiveness of an intensive acupuncture for voice problem 本項研究目的是探討針灸對治療聲帶病變的療效 Outcome measures 成效指標 Measurements for determining success 用來決定療效的指標 Acoustic analysis-voice range profile 音域量度 Perceptual analysis-voice quality ratings 聲線質量 Patient’s perception-Activity limitation participation restriction by Voice Activity Participation Profile (VAPP, Ma Yiu, 2001) 患者自我評估 Voice range measure 音域測量 Methods　研究方法 Carried out at the Nanjing First Affiliated Hospital, Nanjing研究地點 ：南京第一附屬醫院 Study design 研究設計 : Randomized 隨機 Treatment-placebo group治療-安慰對照 Double-blind 雙盲 Pa