嗓音疲劳指数与主客观嗓音障碍程度的相关性

Correlation between voice fatigue index and subjective and objective degrees of voice impairment

KIM HaKyung;康晓茜;赵纹笙;王晓雨;易彬;张庆苏

1:华东师范大学康复科学系

2:上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科

3:中国康复研究中心(北京博爱医院)听力语言科

摘要
目的 探讨嗓音疲劳指数(vocal fatigue index, VFI)与嗓音障碍主、客观评估结果的相关性。方法 选择51例嗓音障碍患者(器质性28例,功能性23例)和48例正常被试(对照组),进行VFI评估并比较两组得分的差异;对嗓音障碍患者进行主观嗓音障碍指数(voice handicap index, VHI)和客观声学评估,分析VFI得分与嗓音障碍主客观评估结果的相关性。结果 嗓音障碍患者VFI得分与对照组存在显著差异,VFI总分和第一、二部分得分高于对照组,第三部分得分低于对照组(P<0.05);VFI总分和各部分得分与VHI总分和各部分得分相关性强(P<0.05或P<0.01);VFI第一、三部分评分与I-low呈负相关(P<0.05),与其他声学分析指标及嗓音障碍严重程度指数(dysphonia severity index, DSI)无显著相关性(P>0.05)。结论 嗓音障碍人群嗓音疲劳症状更为突出,VFI得分与主观嗓音障碍严重程度显著相关,与客观声学分析指标的相关性不显著。
关键词
嗓音障碍;嗓音疲劳指数;声学分析;嗓音障碍指数;嗓音障碍严重程度指数
基金项目(Foundation):
上海交通大学医学院附属第九人民医院临床研究助推计划(临十计划)
作者
KIM HaKyung;康晓茜;赵纹笙;王晓雨;易彬;张庆苏
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