教师声带息肉患者的嗓音声学分析与嗓音障碍指数相关性研究

Correlation between Voice Handicap Index and Voice Acoustic Analysis in Teachers with Vocal Fold Polyps

彭静;谭洁;谢文亮;邹密;

1:湖南中医药大学

2:中南大学湘雅三医院康复科

摘要
目的探讨教师声带息肉患者的嗓音声学分析与嗓音障碍指数的相关性。方法对70例教师声带息肉患者(教师息肉组,男30例,女40例)和70例嗓音正常者(对照组,男28例,女42例)进行嗓音声学分析和嗓音障碍指数(voice handicap index, VHI)评估。嗓音声学分析指标包括基频(F0)、基频微扰(jitter)、振幅微扰(shimmer)和谐噪比(HNR),比较两组结果,并分析教师组嗓音声学分析指标与VHI分值的相关性。结果 (1)男性和女性教师息肉组F0、HNR较对照组降低,jitter、shimmer和VHI分值较对照组升高,差异均有统计学意义(均为P<0.05);(2)教师息肉组男性患者的F0、jitter、shimmer和HNR与VHI值无相关性(P>0.05);女性患者除F0与VHI值无相关性外,jitter和shimmer与VHI值呈正相关(r=0.681和0.405,P<0.05),HNR与VHI值呈负相关(r=-0.468,P<0.05)。结论声带息肉对教师的嗓音和生活质量有重要影响,且不同性别患者的影响程度不同;嗓音声学分析可衡量声带息肉患者嗓音异常程度,VHI可作为职业用嗓者发声困难时嗓音评估的重要补充。
关键词
声带息肉;教师;嗓音声学分析;嗓音障碍指数
基金项目(Foundation):
作者
彭静;谭洁;谢文亮;邹密;
参考文献

1 Niebudek-Bogusz E,Woznicka E,Zamyslowska-Szmytke E,et al.Correlation between acoustic parameters and Voice Handicap Index in dysphonic teachers[J].Folia Phoniatr Logop,2010,62(1-2):55-60.

2 Toran KC,Vaidhya BK.Objective voice analysis for vocal polyps following microlaryngeal phonosurgery[J].Kathmandu Univ Med J(KUMJ),2010,8(30):185-189.

3 Vasconcelos D,Gomes A,Araújo C.Vocal fold polyps:literature review[J].Int Arch Otorhinolaryngol,2019,23(1):116-124.

4 DeJonckere PH,Crevier-Buchman L,Marie JP,et al.Implementation of the European Laryngological Society (ELS) basic protocol for assessing voice treatment effect[J].Rev Laryngol Otol Rhinol (Bord),2003,124(5):279-283.

5 Jacobson BH,Johnson A,Grywalsi C,et al.The voice handicap index(VHI):development and vadiation[J].Laryngoscope,2004,114(9):1549-1556.

6 李晓雨,李进让.嗓音障碍指数主观评估与发音障碍严重程度指数客观检测的相关性分析[J].中国耳鼻咽喉头颈外科,2016,23(2):122-124.

7 Lu D,Wen B,Yang H,et al.A comparative study of the VHI-10 and the V-RQOL for quality of life among Chinese teachers with and without voice disorders[J].J Voice,2017,31(4):509.e1-509.e6.

8 Xu W,Han D,Li H,et al.Application of the Mandarin Chinese version of the voice handicap index[J].J Voice,2010,24(6):702-707.

9 Li H,Huang Z,Hu R,et al.Study on the simplified Chinese version of the voice handicap index[J].J Voice,2012,26(3):365-371.

10 高洁,屈季宁.声带息肉患者的嗓音声学分析与VHI的相关性研究[J].听力学及言语疾病杂志,2010,18(3):246-248.

11 尤慧华,诸葛盼,王翰青,等.声带息肉患者的主客观嗓音评估特征[J].听力学及言语疾病杂志,2016,24(1):85-87.

12 Roy N,Merrill RM,Thibeault S,et al.Prevalence of voice disorders in teachers and the general population[J].J Speech Lang Hear Res,2004,47(2):281-293.

13 田勇泉.耳鼻咽喉头颈外科学[M].北京:人民卫生出版社,2013.184-185.

14 余明强,徐新林,张赛,等.非线性动力学方法在声带息肉和囊肿患者嗓音信号分析中的应用[J].听力学及言语疾病杂志,2013,21(3):244-248.

15 Lopes LW,Batista Sim?es L,Delfino da Silva J,et al.Accuracy of acoustic analysis measurements in the evaluation of patients with different laryngeal diagnoses[J].J Voice,2017,31(3):382.e15-382.e26.

16 Yu P,Garrel R,Nicollas R,et al.Objective voice analysis in dysphonic patients:new data including nonlinear measurements[J].Folia Phoniatr Logop,2007,59(1):20-30.

17 Gu J,Huang Y.β-Defensin-2 is overexpressed in human vocal fold polyps[J].Eur Arch Otorhinolaryngol,2017,274(2):901-907.

18 Cielo CA,Schwarz K,Finger LS,et al.Glottal closure in women with no voice complaints or laryngeal disorders[J].Int arch otorhinolaryngol,2019,23(4):e384-e388.

19 Yamauchi A,Yokonishi H,Imagawa H,et al.Quantification of vocal fold vibration in various laryngeal disorders using high-speed digital imaging[J].J Voice,2016,30(2):205-214.

20 Gillespie AI,Gooding W,Rosen C,et al.Correlation of VHI-10 to voice laboratory measurements across five common voice disorders[J].J Voice,2014,28(4):440-448.

21 Fulljames N,Harris S.Voice outcome measures:correlations with patients' assessment of their condition and the effectiveness of voice therapy[J].Logoped Phoniatr Vocol,2006,31(1):23-35.

22 余明强,周莉,徐新林,等.声带息肉患者持续元音及连贯言语声的倒频谱声学分析[J].听力学及言语疾病杂志,2016,24(1):15-19.

23 Nakagawa H,Miyamoto M,Kusuyama T,et al.Resolution of vocal fold polyps with conservative treatment[J].J Voice,2012,26(3):e107-110.

24 Murphy PJ,McGuigan KG,Walsh M,et al.Investigation of a glottal related harmonics-to-noise ratio and spectral tilt as indicators of glottal noise in synthesized and human voice signals[J].J Acoust Soc Am,2008,123(3):1642-1652.

25 Sampaio MC,dos Reis EJ,Carvalho FM,et al.Vocal effort and voice handicap among teachers[J].J Voice,2012,26(6):820.e15-18.

26 Byeon H.The risk factors related to voice disorder in teachers:A systematic review and meta-analysis[J].Int J Environ Res Public Health,2019,16(19):3675-3689.

27 Simberg S,Sala E,Vehmas K,et al.Changes in the prevalence of vocal symptoms among teachers during a twelve-year period[J].J Voice,2005,19(1):95-102.

28 Araújo TM,Reis EJ,Carvalho FM,et al.Factors associated with voice disorders among women teachers[J].Cad Saude Publica,2008,24(6):1229-1238.

29 马艳利,徐新林,侯光辉,等.单侧环杓关节脱位患者嗓音声学分析与VHI-10的相关性研究[J].中国中西医结合耳鼻咽喉科杂志,2016,24(4):285-288.

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