儿童扁桃体腺样体肥大对嗓音影响分析  

Effects of tonsillar hypertrophy and adenoidal hypertrophy on voice in children

作　　者：马志强 宋惠芸 于海玲[2] MA Zhiqiang;SONG Huiyun;YU Hailing(Weifang Medical University,Weifang,Shandong,261021,China;Department of Otolaryngology Head and Neck Surgery,Women and Children's Hospital,Qingdao University,Qingdao,Shandong,266000,China)

机构地区：[1]潍坊医学院临床医学院,山东潍坊261021 [2]青岛大学附属妇女儿童医院耳鼻咽喉头颈外科,山东青岛266000

出　　处：《中国耳鼻咽喉头颈外科》2023年第1期36-39,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的研究儿童扁桃体腺样体肥大对嗓音影响。方法回顾性分析52例扁桃体腺样体肥大的患儿手术前后临床资料与130名正常儿童的文献资料。分别将术前患儿与正常儿童行多维嗓音分析检查对比分析,扁桃体腺样体肥大的患儿手术前1天、术后半个月及术后1个月行嗓音学对比分析。对比元音/a/的基频(F0)、基频微扰(Jitter)、振幅微扰(Shimmer)、振幅变化系数(vAm)、噪谐比(NHR)、嗓音紊乱指数(VTI)的变化。结果(1)所有患儿术前较术后半个月比较,F0、Jitter、Shimmer、NHR、vAm升高,VTI降低,其中vAm、VTI差异有统计学意义(P<0.05),F0、Jitter、Shimmer、NHR差异无统计学意义(P>0.05);(2)所有患儿术前较术后1个月比较,Jitter、Shimmer、NHR、vAm升高,F0、VTI降低,其中Shimmer、vAm、NHR差异有统计学意义(P<0.05),F0、VTI差异无统计学意义(P>0.05);(3)术前患儿与正常儿童之间F0、Jitter、Shimmer、NHR、VTI无明显差异(P>0.05);vAm明显升高,差异有统计学意义(P<0.05)。结论扁桃体腺样体肥大会影响声道的通畅和共鸣器官共振,引起患儿的Shimmer、vAm、NHR嗓音数值增大,VTI数值减低。OBJECTIVE To study the effect of tonsillar hypertrophy and adenoidal hypertrophy on voice in children.METHODS We retrospectively reviewed the clinical data of 52 children with tonsil and adenoid hypertrophy before and after operation and the literature of 130 normal children were analyzed.We compared the results of the multidimensional voice analysis of the preoperative children with normal children,and also compared the results of that in children one day before operation,half a month after operation and a month after operation.The changes of fundamental frequency(F0),fundamental frequency perturbation(Jitter),amplitude perturbation(Shimmer),amplitude variation coefficient(vAm),noise harmonic ratio(NHR)and voice disorder index(VTI)of vowel/a/were compared.RESULTS 1.All children were compared before surgery and half a month after surgery and found to have increased F0,Jitter,Shimmer,NHR and decreased VTI,of which there was no significant difference between F0,Jitter,Shimmer and NHR(P>0.05);2.The comparison of before operation with one month after the operation revealed that Jitter,Shimmer,NHR,and vAm increased,while F0 and VTI decreased in all children,among them,Shimmer,vAm,and NHR had statistically significant differences(P<0.05),F0 and VTI had no statistically significant differences(P>0.05);3.There were no significant differences in F0,Jitter,Shimmer,NHR or VTI between children before surgery and normal children(P>0.05),but the vAm was significantly higher,and the difference was statistically significant(P<0.05).CONCLUSION Tonsillar hypertrophy and adenoidal hypertrophy can affect the patency and resonance of the upper airway,causing the children to have increased values in the Shimmer,vAm,and NHR and decreased values in the VTI.

关 键 词：儿童 扁桃体肥大 腺样体肥大 嗓音 共鸣腔 多维嗓音分析 

分 类 号：R766[医药卫生—耳鼻咽喉科]