中国听力语言康复科学杂志
中國聽力語言康複科學雜誌
중국은력어언강복과학잡지
CHINESE SCIENTIFIC JOURNAL OF HEARING AND SPEECH REHABILITATION
2013年
2期
112-115
,共4页
嗓音声学分析%嗓音障碍指数%嗓音疾病%教师
嗓音聲學分析%嗓音障礙指數%嗓音疾病%教師
상음성학분석%상음장애지수%상음질병%교사
Voice acoustic analysis%Voice handicap index(VHI)%Voice disorder%Teacher
目的探讨嗓音声学分析与嗓音障碍指数(voice handicap index,VHI)用于小学教师嗓音质量评估的临床意义.方法30例嗓音正常教师(G1组)与同一学校年龄、性别、教龄相匹配的30例嗓音障碍教师(G2组)均行间接喉镜检查、嗓音声学分析、VHI量表自我评估,两组结果进行比较分析.结果嗓音障碍组(G2)中慢性喉炎占77%(23/30)、声带息肉占10%(3/30)、声带小结占13%(4/30).嗓音障碍组(G2)的Jitter、Shimmer、噪谐比(NHR)均高于嗓音正常组(G1),差异有统计学意义(P<0.05).嗓音障碍组(G2)与嗓音正常组(G1)的功能(functional,F)、生理(physical,P)、情感(emotional,E)三方面得分及VHI总分(total scores of the VHI,Tvh)分值两组间差异有统计学意义(P<0.05).嗓音障碍组(G2)VHI量表中除E外,F、P、Tvh与Jitter、Shimmer、NHR之间有良好的相关性.结论临床上可以用嗓音声学分析中各项指标判断教师嗓音障碍的严重程度,VHI可主观反映教师嗓音疾病的严重程度,二者在嗓音质量评估中具有一定的临床应用价值.
目的探討嗓音聲學分析與嗓音障礙指數(voice handicap index,VHI)用于小學教師嗓音質量評估的臨床意義.方法30例嗓音正常教師(G1組)與同一學校年齡、性彆、教齡相匹配的30例嗓音障礙教師(G2組)均行間接喉鏡檢查、嗓音聲學分析、VHI量錶自我評估,兩組結果進行比較分析.結果嗓音障礙組(G2)中慢性喉炎佔77%(23/30)、聲帶息肉佔10%(3/30)、聲帶小結佔13%(4/30).嗓音障礙組(G2)的Jitter、Shimmer、譟諧比(NHR)均高于嗓音正常組(G1),差異有統計學意義(P<0.05).嗓音障礙組(G2)與嗓音正常組(G1)的功能(functional,F)、生理(physical,P)、情感(emotional,E)三方麵得分及VHI總分(total scores of the VHI,Tvh)分值兩組間差異有統計學意義(P<0.05).嗓音障礙組(G2)VHI量錶中除E外,F、P、Tvh與Jitter、Shimmer、NHR之間有良好的相關性.結論臨床上可以用嗓音聲學分析中各項指標判斷教師嗓音障礙的嚴重程度,VHI可主觀反映教師嗓音疾病的嚴重程度,二者在嗓音質量評估中具有一定的臨床應用價值.
목적탐토상음성학분석여상음장애지수(voice handicap index,VHI)용우소학교사상음질량평고적림상의의.방법30례상음정상교사(G1조)여동일학교년령、성별、교령상필배적30례상음장애교사(G2조)균행간접후경검사、상음성학분석、VHI량표자아평고,량조결과진행비교분석.결과상음장애조(G2)중만성후염점77%(23/30)、성대식육점10%(3/30)、성대소결점13%(4/30).상음장애조(G2)적Jitter、Shimmer、조해비(NHR)균고우상음정상조(G1),차이유통계학의의(P<0.05).상음장애조(G2)여상음정상조(G1)적공능(functional,F)、생리(physical,P)、정감(emotional,E)삼방면득분급VHI총분(total scores of the VHI,Tvh)분치량조간차이유통계학의의(P<0.05).상음장애조(G2)VHI량표중제E외,F、P、Tvh여Jitter、Shimmer、NHR지간유량호적상관성.결론림상상가이용상음성학분석중각항지표판단교사상음장애적엄중정도,VHI가주관반영교사상음질병적엄중정도,이자재상음질량평고중구유일정적림상응용개치.
@@@@Objective To explore the clinical significance of voice acoustic analysis(VAA) and the application of voice handicap index(VHI) in the voice assessment of teachers at elementary schools. Methods Thirty teachers with normal voice (Group 1) and thirty teachers with voice disorders of the same age, gender and school age (Group 2) received the indirect laryngoscope, VAA and VHI assessment. The results of the two groups were compared and analyzed. Results In Group 2, the percentage of chronic laryngitis was 77%(23/30), vocal polyps 10%(3/30) and vocal nodules 13%(4/30),respectively. The Jitter, Shimmer and NHR of Group 2 were higher than those of Group 1, showing significant differences(P<0.05).And there were significant differences in functional(F), physical(P), emotional(E) and total scores of VHI(Tvh) between Group 1 and Group 2(P<0.05). Except E, there were correlations between F, P, Tvh and Jitter, Shimmer, NHR of Group 2.Conclusion In clinical practice, the VAA can be used to evaluate the severity of voice disorders and VHI can reflect the subjective feelings of teachers with voice disorders. Both of them can apply to the voice quality assessment.
