唱音音域和话音音域在声带息肉患者术后疗效评估中的应用

Clinical Application of Voice Range Profile and Speach Range Profile in Pationts with Vocal Polyps after Operation

朴美兰;王小琴;魏凡竣;

1:首都医科大学良乡教学医院耳鼻喉科

摘要

目的探讨唱音音域(voice range profile, VRP)和话音音域(speech rande profile, SRP)对于声带息肉患者术后嗓音功能恢复评估的临床价值及两种音域图的相关性。方法以2018年2月至2019年9月行手术治疗的声带息肉患者28例为研究对象(声带息肉组,年龄25～49岁),以未经嗓音训练的正常嗓音者30例为对照组(年龄18～50岁),分别于声带息肉组手术前、术后1个月及正常组进行VRP和SRP测试,对VRP及SRP的最低频率、最高频率、音调范围、最小声压级、最大声压级、声压级范围等6个指标进行分析,比较声带息肉组手术前后的变化并与对照组比较,比较两种音域的相关性。结果与对照组相比,声带息肉组VRP与SRP平均最高频率、最大声压级、音调范围、声压级范围减小,平均最低频率及最小声压级增高(均为P<0.05),音域变窄。声带息肉组术后1个月VRP结果与术前相比,最高频率及最大声压级增大、最小频率及最小声压级减小、音调范围及声压级范围增大,差异均有统计学意义(P<0.05);声带息肉组术后1个月SRP结果与术前相比,最高频率及最大声压级增大、最小声压级减小、音调范围及声压级范围增大,差异有统计学意义(P<0.05),而最低频率均值减小,但差异无统计学意义(P=0.11)。声带息肉患者手术前后VRP与SRP的6个指标均显著正相关(0<1)。结论 VRP与SRP作为嗓音声学音域值的量化指标,均能很好地评估声带息肉患者术后的发声功能;在评估声带息肉患者术后嗓音音域的恢复方面,VRP的敏感性高于SRP。

关键词

音域图;唱音音域;话音音域;声带息肉

基金项目(Foundation):

作者

朴美兰;王小琴;魏凡竣;

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音域图唱音音域话音音域声带息肉

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朴美兰王小琴魏凡竣