儿童声音嘶哑1285例调查分析  

Survey analysis on hoarseness in 1285 children

作　　者：黄丹[1] 宋成君[1] 李玉花[1] 

机构地区：[1]吉林市中心医院耳鼻咽喉头颈外科,吉林吉林132001

出　　处：《中国耳鼻咽喉颅底外科杂志》2017年第3期277-279,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的通过对儿童嗓音情况的调查分析,了解导致儿童嗓音疾病的主要原因及病变,为儿童嗓音保健及嗓音疾病早期干预治疗提供依据。方法选取2010年1月~2014年7月在吉林市中心医院喉科就诊的来自于15个社区、主诉为声音嘶哑的儿童1285名,应用间接喉镜进行检查,其中声门区不能完全暴露者235例,不能配合者351例,均在表麻下经鼻腔电子喉镜检查。对其发病特点、嗓音情况进行分析。结果引起儿童声音嘶哑最常见的病因是声带良性增生性病变,占66.61%,其中包括声带小结、声带息肉等,过度用嗓是造成儿童嗓音疾病的主要原因。结论积极开展社区儿童用嗓保健,加强对高危人群的监测,具有重要的意义。Objective To discuss the main reasons for voice disorders and lesions, and provide evidence for voice health and early intervention of voice diseases in children via investigation and analysis onhoarseness in children. Methods 1285 children with chief complaint of hoarseness from Jan 2010 and July 2014were enrolled in this survey. They came from 15 communities, attended our voice clinic and were give indirect laryngoscopy. 235 with incomplete exposure of glottis and 351 with poor cooperation received transnasal electronic laryngofiberscopy under topical anesthesia. Their pathogenic and voice characteristics were analyzed. Results Benign proliferative lesions of vocal cords, accounting for 66.61% of the 1285 cases, were the most common causes of hoarseness in children. These lesions included vocal nodules, laryngitis and vocalpolyp resulting from excessive usage of voice. Conclusion To actively carry forward community voice heahhcare and strengthen monitoring ofhigh-risk groups are essential for prevention of voice disorders in children.

关 键 词：儿童嗓音分析 声音嘶哑 儿童保健 治疗 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]