嗓音质量指数在汉语普通话人群中的适用性初测  

Validity of acoustic voice quality index in Chinese mandarin speaking population

作　　者：李曙光 牛燕燕[1] 祝小莉[1] 朱莹莹[1] 刁文雯[1] 陈兴明[1] LI Shuguang;NIU Yanyan;ZHU Xiaoli;ZHU Yingying;DIAO Wenwen;CHEN Xingming(Department of Otolaryngology-Head and Neck Surgery,Peking Union Medical College Hospital,Peking Union Medical College and Chinese Academy of Medical Sciences,Beijin,100730,China)

机构地区：[1]中国医学科学院北京协和医学院,北京协和医院耳鼻咽喉科,北京100730

出　　处：《中国中西医结合耳鼻咽喉科杂志》2021年第6期450-454,439,共6页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的初步测定嗓音质量指数在汉语普通话人群中的适用性。方法50名嗓音正常者及50名嗓音障碍患者参与了这项研究。所有的受试者使用电子喉镜检查喉部结构并录制声样,使用GRBAS量表与Praat软件分析。结果以电子喉镜结果为标准,进行AVQI值的ROC曲线分析,结果为AUC=0.920,P<0.001。并使用约登指数计算AVQI值的阈值为:3.030。spearman相关性分析提示AVQI值与电子喉镜的结果及GRBAS评分高度正相关(rs=0.730,P<0.001;rs=0.751;P<0.001)。结论在汉语普通话人群中,AVQI值可以准确稳定地判断整体语音质量。它在临床实践中有潜力作为一种测量工具与电子喉镜检查和GRBAS评分量表平行使用。Objective To investigate the reliability and validity of the acoustic voice quality index(AVQI)in Mandarin Chinese.Methods Fifty people with normal voice and 50 people with various voice disorders were enrolled in this study.Electronic laryngoscopy was applied to all participants to determine whether the larynx function was normal.Voice samples were recorded and evaluated by the grade of dysphonia(G)and AVQI script version 02.03 in Praat(version 6.0).All participants finished the Voice Handicap Index(VHI-30)questionnaires.Results ROC curve analysis of AVQI value was carried out using the results of larybgoscopy as the standard,and the result was AUC=0.920,P<0.001.The cutoff value of AVQI calculated by Youden index is 3.030.Spearman correlation analysis showed that AVQI value was highly positively correlated with the results of stroboscope(rs=0.730;P<0.001)and a strong positive correlation with Gmean score(rs=0.751;P<0.001);while the correlation between AVQI and VHI-30 score was not significant(rs=0.376;P<0.001).Conclusions AVQI could distinguish between normal voice and abnormal voice very well in Mandarin Chinese.And AVQI value has the potential to be used as a measurement tool in parallel with electronic laryngoscopy and GRBAS score in clinical practice.

关 键 词：嗓音障碍 多维度声学测量 嗓音质量指数 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]