嗓音障碍严重程度指数正常值范围的测试

Determination of Normal Range of the Dysphonia Severity Index Scores

周舟;葛平江;刘倩;张伟;柯朝阳;刘明;

1:深圳市人民医院(暨南大学第二临床医学院)耳鼻咽喉-头颈外科

2:广东省人民医院耳鼻咽喉-头颈外科

摘要
目的 探讨嗓音正常人群嗓音障碍严重程度指数(dysphonia severity index, DSI)的正常值范围。方法 招募嗓音正常、无嗓音疾病及治疗史的不吸烟的志愿者125例(男47例,女78例),分别进行嗓音障碍指数(voice handicap index, VHI)评估,并采用DiVAS系统测试最长声时(MPT)、基频微扰(jitter)、最高基频(F0-high)、最低声强(I-low)及DSI。计算DSI值的90%参考值范围作为正常值,并分析上述各指标在性别之间的差异。结果 除1例VHI值超过18被剔出外,本组正常人的DSI值范围是0.15~4.24,平均为2.19±1.24;正常男性和女性平均DSI正常值分别为2.18±1.07、2.20±1.35;范围分别为0.42~3.93、-0.01~4.42;正常女性的F0-high(739.6±153.23 Hz)高于男性(519.6±133.1 Hz)(P<0.01),正常男性的MPT(21.4±6.4 s)大于女性(18.9±5.62 s)(P<0.05);不同性别受试者间I-low、jitter和DSI的差异均无统计学意义(P>0.05)。结论 本研究获得了嗓音正常人的DSI正常参考值范围,性别对DSI正常值无显著影响,不同性别间F0-high及MPT有显著差异。
关键词
嗓音障碍严重指数;嗓音障碍指数;声学测试;正常值
基金项目(Foundation):
作者
周舟;葛平江;刘倩;张伟;柯朝阳;刘明;
参考文献

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