課件-學(xué)生習(xí)作八聲帶小結(jié)的特點(diǎn)-文庫吧
2025-01-03 21:47 本頁面
【正文】 mp。 Woodson, 1992), but few studies have objectively evaluated longterm clinical Outes(效果） . Voice fold nodules History 5 In a recent study using the MMPI (明尼蘇達(dá)多方面?zhèn)€性人格一覽表 ) （ Minnesota Multiphasic Personality Inventory) Roy, McGrory, and Bless (1995) identified elevated levels of psychological distress(不幸 ) and Somatic（軀體的） plaintsin a group of adult female VN patients when pared to a medical outpatient control group. free of mucosal disease Voice fold nodules History 6 Recently, White, Deary, and Wilson (1997), using the General Health Questionnaire (GHQ) and Eysenck Personality Questionnaire (EPQ)（ 艾森克人格問卷） , Suggests a trend toward elevated levels of extraversion and anxiety among subjects with VN. Further research is necessary to better appreciate the relationship between personality and VN development and maintenance（維護(hù)） . Treatment Diagnose Prognosis Effection Typical symptoms Pathological changes Appearance Location Cause Definiton History VN NO Voice fold nodules——Definition Vocal nodules are benign callouslike lesions of the vocal folds often attributed to chronic, repetitive phonotrauma producing biomechanical tissue Stresses and reactive histological changes. Vocal fold nodules develop mostly in adult females, and children of both sexes. Treatment Diagnose Prognosis Effection Typical symptoms Pathological changes Appearance Location Cause Definiton History VN NO 4. Voice fold nodules——Cause strenuous（緊張性的） or abusive voice practices and coughing use their voice constantly in a loud environment , cheerleaders, politicians, actors, preachers, singers, and military drill instructors. Abuse of larynx NO 4. Voice fold nodules——Cause（ 中醫(yī)方面） 祖國醫(yī)學(xué)雖無聲帶息肉和聲帶小結(jié)的病名記載 但 《 類證治裁 》 中有“其逆風(fēng)中號(hào) , 致傷 會(huì)厭 者” 《 醫(yī)統(tǒng) 》 中有“ 因歌唱傷氣而聲不出 , 此不內(nèi)外因也 , 養(yǎng)息自愈” ?? 《 景岳全書 》 謂“暗啞之病 , 當(dāng)知虛實(shí) , 實(shí)者其病在標(biāo) , 因竅閉而暗也 , 虛者 , 其病在本 , 內(nèi)奪而暗也” 均近乎聲帶息肉和 聲帶小結(jié) 當(dāng)屬于中醫(yī)的“ 慢喉暗 ” 、“ 久暗 ” 的范疇 歷代中醫(yī)皆認(rèn)為其病因是“ 金破不鳴” , 即 肺氣虛損 , 肺氣不能“ 貫喉嚨而出音聲” 而致聲嘶。 而近年來對(duì)聲帶息肉和小結(jié)的病因病機(jī)有了 新的認(rèn)識(shí) 。 如白華認(rèn)為脾與耳鼻咽喉存在著密切關(guān)系 , “咽喉干燥 , 病在脾土” , 因 肺脾氣虛 , 咽喉失養(yǎng)而聲嘶 邵云亦認(rèn)為疲血痰濁凝聚咽喉 ,閉阻聲門 , 清竅失于清疏 , 痰結(jié)日久而變生有形贅肉 , 防礙發(fā)聲而為病 王龍認(rèn)為咽喉諸病的發(fā)生與 五臟六腑、陰陽氣血 密切相關(guān) NO 4. Voice fold nodules——Cause（中醫(yī)方面） 綜合上述之說 無論哪種病因最后導(dǎo)致該病的基本病機(jī)均為 氣滯血癖痰 濁凝聚于喉間。 此外 , 任光榮則提出“火郁” 學(xué)說 , 認(rèn)為本病雖是慢性疾患 , 并非純屬虛證 , 其虛處受邪即為實(shí) , 把“ 火郁” 作為本病各種證候中共有的基本病機(jī) NO 4. Voice fold nodules——Cause中國研究情況 ） 因長期 用聲不當(dāng)或用聲過度 所致。 常見于喜愛說話的男孩和成年婦女，尤其好發(fā)于職業(yè)性用喉者 如
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