嗓音疾病患者手术前后的自我评估、声学分析、喉镜检查及其相关性研究  

Study on self-assessment,acoustic analysis,laryngoscopy for patients with voice surgery

作　　者：於子卫[1] 庞正[1] 

机构地区：[1]上海交通大学附属第一人民医院耳鼻咽喉头颈外科,上海200080

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第21期980-982,986,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：上海市卫生局面上项目资助(No:20090803)

摘　　要：目的:研究嗓音疾病患者手术前后的自我评估、声学分析、喉镜检查及其相关性。方法:对50例嗓音疾病患者手术前后分别进行自我评估、声学分析和喉镜检查3项内容。自我评估采用嗓音障碍指数(VHI)量表中文版,包括功能(F)、生理(P)、情感(E)3个方面,其总和记为T。声学分析通过嗓音分析软件Dr.Speech对患者的声音样本进行分析,选取基频微扰(J)、振幅微扰(S)、标准化噪声能量(NNE)3个参数。喉镜检查为客观的形态学检查,主要观察声带的闭合情况。结果:VHI量表中除E外,F、P、TVH(TVH=F+P)之间的相关性良好,声学分析J、S、NNE3个参数之间相关性良好,VHI量表中除E外,F、P、TVH与声学分析参数J、S、NNE之间有良好的相关性,闭合程度与VHI量表中除E外的F、P、TVH以及声学分析参数J、S、NNE之间有良好的相关性,以上均应用Pearson相关检验。结论:VHI量表中文版以患者的主观感受为中心,对嗓音疾病的生活影响进行自我评估,受东西方文化差异、年龄、教育程度等影响,存在一定的局限性。声学分析则从客观方面详细地分析了患者的嗓音质量,评估手术疗效。喉镜检查从形态学方面提供了极好的佐证。三者结合的一致性能对嗓音疾病起到综合评估作用。Objective：To study the self-assessment,acoustic analysis,laryngoscopy and its relationship for patients with voice disorders before and after surgery.Method：Fifty patients with voice disorders were undergone self-assessment,acoustic analysis,and laryngoscopy before and after voice surgery.Self-assessment were done by voice handicap index（VHI） Scale Chinese version,including functional（F）,physiological（P）,emotion（E） and its sum denoted as T.Acoustic analysis were made for patient samples by Dr.Speech voice analysis software and jitter（J）,shimmer（S）,normalized noise energy（NNE） were selected as three parameters.Laryngoscopic examination were used to record the closure of vocal cord morphologically（C）.Result：In addition to E,F,P and TVHof VHI scale had a good correlation.In acoustic analysis J,S and NNE had a good correlation between them.F,P and TVHof VHI scale and acoustic analysis parameters J,S and NNE had a good correlation.Closed degree C and the VHI scale F,P and TVHas well as acoustic analysis parameters J,S,NNE had a good correlation.All the above data use were analyzed by Pearson correlation test.Conclusion：VHI scale Chinese version make the patient＇s subjective feelings as the center,thus it has some limitations for the impact of East-West cultural differences,age,educational level and other factors.Acoustic analysis can show a detailed objective aspect of the patient＇s voice quality and evaluate the result of surgical treatment.Laryngoscopy provide an excellent morphological evidence.Consistency of three methods can do a comprehensive assessment for the voice disease.

关 键 词：嗓音疾病 自我评估 声学分析 喉镜检查 相关性研究 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]