中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2011年
4期
279-282
,共4页
段静明%闫燕%朱丽%马芙蓉
段靜明%閆燕%硃麗%馬芙蓉
단정명%염연%주려%마부용
语音训练%言语疗法%语音障碍%声嘶%发声
語音訓練%言語療法%語音障礙%聲嘶%髮聲
어음훈련%언어요법%어음장애%성시%발성
Voice training%Speech therapy%Voice disorders%Hoarseness%Phonation
目的 应用嗓音训练方法改善职业用声者发音并验证其有效性.方法 选择31例有嗓音症状但无声带器质性病变的职业用声者作为研究对象接受为期4周的嗓音训练.训练的内容包括嗓音卫生教育、改善呼吸支持及增强共鸣等.应用嗓音障碍指数量表、最长发声时间测量及嗓音声学分析进行训练前后的评估.结果 受试者接受嗓音训练后嗓音障碍指数值((-x)±s,以下同)由(33.7±19.2)分降至(18.8±18.4)分,差异具有统计学意义(t=6.14,P＜0.05).受试者接受嗓音训练后最长发声时间由(15.5±5.8)s延长至(18.6±6.0)s,差异具有统计学意义(t=-3.43,P＜0.05).受试者接受嗓音训练后基频微扰有显著性下降,由0.42%[0.36%;0.62%](中位数[25分位数;75分位数])降至0.35%[0.29%;0.47%],Z=-2.51,P＜0.05;而噪谐比、振幅微扰变化无统计学意义.结论 嗓音训练能够减轻职业用声者嗓音障碍症状,降低嗓音障碍程度并增加发音过程呼吸支持的效率,改善嗓音质量.
目的 應用嗓音訓練方法改善職業用聲者髮音併驗證其有效性.方法 選擇31例有嗓音癥狀但無聲帶器質性病變的職業用聲者作為研究對象接受為期4週的嗓音訓練.訓練的內容包括嗓音衛生教育、改善呼吸支持及增彊共鳴等.應用嗓音障礙指數量錶、最長髮聲時間測量及嗓音聲學分析進行訓練前後的評估.結果 受試者接受嗓音訓練後嗓音障礙指數值((-x)±s,以下同)由(33.7±19.2)分降至(18.8±18.4)分,差異具有統計學意義(t=6.14,P＜0.05).受試者接受嗓音訓練後最長髮聲時間由(15.5±5.8)s延長至(18.6±6.0)s,差異具有統計學意義(t=-3.43,P＜0.05).受試者接受嗓音訓練後基頻微擾有顯著性下降,由0.42%[0.36%;0.62%](中位數[25分位數;75分位數])降至0.35%[0.29%;0.47%],Z=-2.51,P＜0.05;而譟諧比、振幅微擾變化無統計學意義.結論 嗓音訓練能夠減輕職業用聲者嗓音障礙癥狀,降低嗓音障礙程度併增加髮音過程呼吸支持的效率,改善嗓音質量.
목적 응용상음훈련방법개선직업용성자발음병험증기유효성.방법 선택31례유상음증상단무성대기질성병변적직업용성자작위연구대상접수위기4주적상음훈련.훈련적내용포괄상음위생교육、개선호흡지지급증강공명등.응용상음장애지수량표、최장발성시간측량급상음성학분석진행훈련전후적평고.결과 수시자접수상음훈련후상음장애지수치((-x)±s,이하동)유(33.7±19.2)분강지(18.8±18.4)분,차이구유통계학의의(t=6.14,P＜0.05).수시자접수상음훈련후최장발성시간유(15.5±5.8)s연장지(18.6±6.0)s,차이구유통계학의의(t=-3.43,P＜0.05).수시자접수상음훈련후기빈미우유현저성하강,유0.42%[0.36%;0.62%](중위수[25분위수;75분위수])강지0.35%[0.29%;0.47%],Z=-2.51,P＜0.05;이조해비、진폭미우변화무통계학의의.결론 상음훈련능구감경직업용성자상음장애증상,강저상음장애정도병증가발음과정호흡지지적효솔,개선상음질량.
Objective To explore the effectiveness of voice training on professional voice users with voice disorders. Methods Thirty one professional voice users suffering from voice symptoms without organic disorder were treated with a four-week voice training program, including vocal hygiene education, respiratory training and resonant therapy. Voice handicap index, maximum phonation time, noise to harmonic ratio,jitter and shimmer were compared before and after the training. Results The voice handicap index ((-x) ± s)decreased from 33.7 ± 19. 2 to 18. 8 ± 18.4 after the training and the difference was significant (t =6. 14,P ＜ 0. 05 ). Maximum phonation time ( (-x) ± s) increased significantly from ( 15. 5 ± 5. 8 ) s to ( 18.6 ± 6.0) s (t = - 3.43, P ＜ 0. 05 ). jitter ( M [P25; P75] ) decreased significantly after the training from 0. 42%[0.36%; 0.62%] to0.35% [0.29%; 0.47%] (Z= -2.51, P＜0.05), while there was no significant change in shimmer and noise to harmonic ratio. Conclusion Voice training can effectively reduce the vocal symptoms in professional voice users, decrease the handicap degree and increase the respiratory support during phonation, thus improve the voice quality.
