烟酒习惯对嗓音的影响初步研究  

The effect of smoke and alcohol abuse to voice

作　　者：万萍[1] 黄昭鸣[1] 

机构地区：[1]华东师范大学学前教育与特殊教育学院,上海200062

出　　处：《临床耳鼻咽喉头颈外科杂志》2008年第15期686-687,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：2005年上海市浦江人才计划项目<特殊儿童言语矫治的理论与方法研究>(No:沪人2005-105)

摘　　要：目的:通过烟酒组与对照组的嗓音参数对比研究,寻找具有鉴别力的参数,并通过参数的变化解释烟酒因素对嗓音的致病机制。方法:随机选择有烟酒嗜好的男性被试33名,对照组随机选择男性被试33名,身体健康,无烟酒嗜好、无耳鼻咽喉等疾病。采用"喉功能检测仪"和"电声门图仪"进行录音,要求被试发/e/音3s,对声音样本进行分析,分别获得F0、Jitter、NNE以及CQ的数据,采用多因变量组间对比研究。结果:烟酒组与对照组4项参数均差异有统计学意义(均P<0.01),其中烟酒组的F0、CQ值低于对照组;Jitter值、NNE值大于对照组。结论:烟酒嗜好对人类的嗓音具有损害作用;理论研究加上实验分析是选择敏感参数的有效方法;F0、Jitter、NNE以及CQ是衡量烟酒嗜好所致病理嗓音的有效表征参数,可用于监控此类病理嗓音的治疗效果。Objective：To explore parameters which can discriminate the voice of smoke and alcohol abuse and healthy voice by contrasting the voice parameters of two groups, and to study the pathogenic mechanism of the adverse effect of smoke and alcohol abuse to voice by the change of parameters. Method：Selecting 33 male subjects with smoke and alcohol abuse, and selecting other 33 healthy male subjects with no smoking and alcohol abuse and no ENT disease as control, randomly. Assessed by ＂vocal assessment＂, each subject was required to phonate/e/for 3s, voice parameters including F0, Jitter, NNE and CQ were collected for multivariate analysis. Result：There were significant difference between smoke and alcohol abuse group and controlled group on the voice parameters （P〈0.01）. F0 of the former is significantly lower than that of the latter（P〈0.01）. Jitter of the former is significantly larger than that of the latter（P〈0. 01）. NNE of the former is significantly larger than that of the latter. CQ of the former is significantly smaller than that of the latter（P〈0.01）. Conclusion：Smoke and alcohol abuse had the adverse effect on the human voice. Both theory and experiment analysis were useful methods of selecting sensitive parameters. F0, Jitter, NNE and CQ were effect parameters which can reflect the voice characteristic of smoke and alcohol abuse, and can be used to monitor the effect of therapy for this kind of pathological voice.

关 键 词：嗓音 烟酒嗜好 声学参数 

分 类 号：R322.8[医药卫生—人体解剖和组织胚胎学]