正常青年男性胸腔共鸣特征与共鸣腔体积和肺活量的相关性  

Relationship between Chest Volume and Pleural Resonance Features in Young Male Adults

作　　者：赵春娜[1,2] 黄永望[1] 田德润[2] 戴越[3] 荣庆林[3] 傅德慧[1] 庄丕伟 

机构地区：[1]天津医科大学第二医院耳鼻咽喉头颈外科,天津300211 [2]天津医科大学研究生院 [3]天津医科大学第二医院放疗科

出　　处：《听力学及言语疾病杂志》2015年第3期244-247,共4页Journal of Audiology and Speech Pathology

基　　金：天津市教委社会科学重大项目基金(2012ZD49)资助

摘　　要：目的了解正常青年男性胸腔共鸣腔体积、肺活量与胸腔共鸣特征的相关性。方法选取60例符合入选标准的正常青年男性,应用多通道语音分析系统检测受试者发/a：/音时胸腔共鸣的频谱特征,统计0~999Hz（FR1）、1 000~1 999Hz（FR2）、2 000~2 999Hz（FR3）、3 000~4 000Hz（FR4）频段能量分布情况;应用多层螺旋CT快速三维重建方法对深吸气末胸腔进行快速成像,计算共鸣腔（气管、支气管及肺部）体积;应用言语发声空气动力学系统行肺活量检测,采用SPSS18.0统计软件对各组数据进行Pearson相关分析。结果正常青年男性肺活量为4.31±0.63L,胸腔共鸣腔体积为5.69±0.52L,共振能量集中在FR1（53.38%±2.14%）,其他频段依次递减（FR230.72%±1.59%,FR310.53%±2.75%,FR45.35%±2.32%）;共鸣腔体积与FR1高度正相关（r=0.854）,与FR2中度正相关（r=0.740）,与FR3中度负相关（r=-0.587）,与FR4中度负相关（r=-0.565）;肺活量与FR1中度正相关（r=0.744）,与FR2中度正相关（r=0.699）,与FR3中度负相关（r=-0.632）,与FR4低度负相关（r=-0.429）。结论正常青年男性胸腔共鸣腔体积及肺活量与胸腔共鸣能量分布有很高的相关性,胸腔共鸣腔体积、肺活量可能是影响发音效果的因素之一。Objective To investigate the relationship between pleural resonance features and the chest volume and vital capacity in young male adults .Methods A total of 60 healthy young male adults were included in this study .Energy distribution of pleural resonance was measured with the multi-channel voice analysis system when they pronounced /a：/.The frequency spectrums were 0~999 Hz （FR1 ） ,1 000~1 999 Hz （FR2 ） ,2 000~2 999 Hz （FR3 ） ,3 000~4 000 Hz （FR4 ） .Fast 3D reconstruction of chest was detected by multi slice spiral CT to calcu‐late the chest volume .The vital capacity was evaluated by aerodynamics system .SPSS 18 .0 software was used to analyze the data .Results The vital capacity in healthy young male adults was 4 .31 ± 0 .63 L ,the chest volume was 5 .69 ± 0 .52 L .The frequency spectrum of FR1 was 53 .38% ± 2 .14% ,FR2 was 30 .72% ± 1 .59% ,FR3 was 10 . 53% ± 2 .75% ,FR4 was 5 .35% ± 2 .32% ,respectively .There was a highly positive correlation between the chest volume and FR1 （r=0 .854） ,moderately positive correlation between the volume and FR2 （r=0 .740） ,moderately negative correlation between the volume and FR3 （r= -0 .587） ,moderately negative correlation between the volume and FR4 （r= -0 .565）;There was a highly positive correlation between the vital capacity and FR1 （r=0 .744） ,mod‐erately positive correlation between the volume and FR2 （r=0 .699） ,moderately negative correlation between thevolume and FR3 （r= -0 .632） ,weakly negative correlation between the volume and FR4 （r= -0 .429） .Conclusion There was a high correlation between the chest volume and pleural resonance ,high correlation between vital capacity and pleural resonance in young male adults ,which may be a influencing factor of pronunciation effect .

关 键 词：胸腔共鸣 肺活量 多通道语音分析 CT三维重建 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]