听力学及言语疾病杂志
聽力學及言語疾病雜誌
은역학급언어질병잡지
JOURNAL OF AUDIOLOGY AND SPEECH PATHOLOGY
2015年
3期
273-275
,共3页
扁桃体肥大%扁桃体切除术%共鸣%语音分析
扁桃體肥大%扁桃體切除術%共鳴%語音分析
편도체비대%편도체절제술%공명%어음분석
Tonsil hypertrophy%Tonsillectomy%Resonance%Speech analysis
目的:探讨扁桃体肥大患者扁桃体切除手术前后发声的共鸣特征变化。方法使用多通道语音分析系统测试38例8~20岁男性扁桃体肥大患者(扁桃体肥大组,II度大25例,III度大13例)扁桃体切除术前、术后一个月及40例7~22岁正常男性(正常对照组)发/a:/音时头腔、口腔、喉腔、胸腔共鸣频谱特征,分别统计0~999 Hz(FR1)、1000~1999 Hz(FR2)、2000~2999 Hz(FR3)、3000~4000 Hz(FR4)频段的能量分布。结果扁桃体肥大组术后一个月,头腔和口腔FR2、FR3能量值、胸腔FR2能量值较术前提高( P<0.05),与正常对照组差异无统计学意义(P>0.05),头腔、口腔、胸腔FR1能量值较术前下降(P<0.05),与正常对照组差异无统计学意义(P>0.05),术后喉腔FR1~FR4能量值与术前及对照组比较差异无统计学意(P>0.05)。结论扁桃体肥大患者扁桃体切除术后口咽腔的体积扩大、气流通道增宽,改变了头腔、口腔的高频共振,且术后一个月左右均恢复至正常水平。
目的:探討扁桃體肥大患者扁桃體切除手術前後髮聲的共鳴特徵變化。方法使用多通道語音分析繫統測試38例8~20歲男性扁桃體肥大患者(扁桃體肥大組,II度大25例,III度大13例)扁桃體切除術前、術後一箇月及40例7~22歲正常男性(正常對照組)髮/a:/音時頭腔、口腔、喉腔、胸腔共鳴頻譜特徵,分彆統計0~999 Hz(FR1)、1000~1999 Hz(FR2)、2000~2999 Hz(FR3)、3000~4000 Hz(FR4)頻段的能量分佈。結果扁桃體肥大組術後一箇月,頭腔和口腔FR2、FR3能量值、胸腔FR2能量值較術前提高( P<0.05),與正常對照組差異無統計學意義(P>0.05),頭腔、口腔、胸腔FR1能量值較術前下降(P<0.05),與正常對照組差異無統計學意義(P>0.05),術後喉腔FR1~FR4能量值與術前及對照組比較差異無統計學意(P>0.05)。結論扁桃體肥大患者扁桃體切除術後口嚥腔的體積擴大、氣流通道增寬,改變瞭頭腔、口腔的高頻共振,且術後一箇月左右均恢複至正常水平。
목적:탐토편도체비대환자편도체절제수술전후발성적공명특정변화。방법사용다통도어음분석계통측시38례8~20세남성편도체비대환자(편도체비대조,II도대25례,III도대13례)편도체절제술전、술후일개월급40례7~22세정상남성(정상대조조)발/a:/음시두강、구강、후강、흉강공명빈보특정,분별통계0~999 Hz(FR1)、1000~1999 Hz(FR2)、2000~2999 Hz(FR3)、3000~4000 Hz(FR4)빈단적능량분포。결과편도체비대조술후일개월,두강화구강FR2、FR3능량치、흉강FR2능량치교술전제고( P<0.05),여정상대조조차이무통계학의의(P>0.05),두강、구강、흉강FR1능량치교술전하강(P<0.05),여정상대조조차이무통계학의의(P>0.05),술후후강FR1~FR4능량치여술전급대조조비교차이무통계학의(P>0.05)。결론편도체비대환자편도체절제술후구인강적체적확대、기류통도증관,개변료두강、구강적고빈공진,차술후일개월좌우균회복지정상수평。
Objective To study the influence of tonsillectomy on resonance characteristics of four resonance cavity in patients with tonsil hypertrophy (II or III degree) .Methods Using multi-channel voice analysis system to test the cavity resonance characteristics and energy distribution of 38 tonsil hypertrophy male patients (including pre- and one month of post-operative) and 40 normal males when they speak /a:/.The frequency spectrum was 4 000 Hz(FR1 ,FR2 ,FR3 ,FR4 ) .Results FR2 ,FR3 energy values of the head cavity and mouth cavity ,and FR2 energy values of the thoracic cavity increased to the level of the normal control group after tonsillectomy(P<0 .05) .FR1 energy values of head ,mouth and thoracic cavity decreased to the level of the normal control group after tonsillecto‐my(P<0 .05) .FR1 ,FR2 ,FR3 ,FR4 energy values of laryngeal cavity maintained the normal level ,including pre- and post - operation .Conclusion Tonsillectomy makes oropharyngeal cavity volume expanded and airflow channel broaden .Tonsillectomy mainly maks high-frequency resonance of head and mouth cavities recovered to the normal level after about one month .