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
2015年
8期
673-676
,共4页
周舟%葛平江%刘倩%刘明%张伟
週舟%葛平江%劉倩%劉明%張偉
주주%갈평강%류천%류명%장위
语音障碍%声带%息肉%疾病严重程度指数
語音障礙%聲帶%息肉%疾病嚴重程度指數
어음장애%성대%식육%질병엄중정도지수
Voice disorders%Vocal cords%Polyps%Severity of illness index
目的 应用嗓音障碍严重指数(dysphonia severity index,DSI)对声带息肉患者手术治疗效果进行评估,讨论DSI评估嗓音障碍程度的有效性和可靠性.方法 本研究选取正常人(34名)与声带息肉患者(70例),分别进行嗓音障碍指数(voice handicap index,VHI)评估、GRBAS评分、纤维电子喉镜检查,测量最大声时(maximum phonatory time,MPT)、jitter、shimmer及DSI值.运用方差分析DSI值在两组及手术前后组间的差异,并用VHI、GRBAS评分、shimmer与DSI值做相关性分析.结果 70例患者术前DSI值均值为(-2.92±1.59),术后均值(1.87±1.33),正常组均值为(2.30±2.16),术前与术后的DSI值,以及正常组与患者术前DSI均值比较差异均有统计学意义(P<0.05).通过Pearson相关分析,得到DSI值与VHI值(r=-0.632),G值(r=-0.740),R值(r=-0.756),shimmer(r=-0.500)之间有相关关系(P<0.01).结论 DSI可有效地评估声带息肉患者的病理嗓音障碍程度,可作为一个独立使用的评估嗓音障碍程度的多参数方法,并可对声带息肉的手术疗效进行客观评价.
目的 應用嗓音障礙嚴重指數(dysphonia severity index,DSI)對聲帶息肉患者手術治療效果進行評估,討論DSI評估嗓音障礙程度的有效性和可靠性.方法 本研究選取正常人(34名)與聲帶息肉患者(70例),分彆進行嗓音障礙指數(voice handicap index,VHI)評估、GRBAS評分、纖維電子喉鏡檢查,測量最大聲時(maximum phonatory time,MPT)、jitter、shimmer及DSI值.運用方差分析DSI值在兩組及手術前後組間的差異,併用VHI、GRBAS評分、shimmer與DSI值做相關性分析.結果 70例患者術前DSI值均值為(-2.92±1.59),術後均值(1.87±1.33),正常組均值為(2.30±2.16),術前與術後的DSI值,以及正常組與患者術前DSI均值比較差異均有統計學意義(P<0.05).通過Pearson相關分析,得到DSI值與VHI值(r=-0.632),G值(r=-0.740),R值(r=-0.756),shimmer(r=-0.500)之間有相關關繫(P<0.01).結論 DSI可有效地評估聲帶息肉患者的病理嗓音障礙程度,可作為一箇獨立使用的評估嗓音障礙程度的多參數方法,併可對聲帶息肉的手術療效進行客觀評價.
목적 응용상음장애엄중지수(dysphonia severity index,DSI)대성대식육환자수술치료효과진행평고,토론DSI평고상음장애정도적유효성화가고성.방법 본연구선취정상인(34명)여성대식육환자(70례),분별진행상음장애지수(voice handicap index,VHI)평고、GRBAS평분、섬유전자후경검사,측량최대성시(maximum phonatory time,MPT)、jitter、shimmer급DSI치.운용방차분석DSI치재량조급수술전후조간적차이,병용VHI、GRBAS평분、shimmer여DSI치주상관성분석.결과 70례환자술전DSI치균치위(-2.92±1.59),술후균치(1.87±1.33),정상조균치위(2.30±2.16),술전여술후적DSI치,이급정상조여환자술전DSI균치비교차이균유통계학의의(P<0.05).통과Pearson상관분석,득도DSI치여VHI치(r=-0.632),G치(r=-0.740),R치(r=-0.756),shimmer(r=-0.500)지간유상관관계(P<0.01).결론 DSI가유효지평고성대식육환자적병리상음장애정도,가작위일개독립사용적평고상음장애정도적다삼수방법,병가대성대식육적수술료효진행객관평개.
Objective To investigate the applicability of the eysphonia severity index (DSI) in evaluating effects of surgery between before and after groups of vocal polyp patients.Methods Analyses of measurement data pre and pro-surgery of 70 vocal polyp patients and 35 no voice disorders volunteers(control group).The voice quality was measured subjectively with the voice handicap index(VHI),the GRBAS and fiber electronic laryngoscopy.Measures of maximum phonation time (MPT),shimmer and jitter were obtained for each subject by using DiVAS 2.30 (XION,Germany).The DiVAS 2.30 had spotanenously calculate the scores of DSI.Using SPSS 17.0 to find the differences of DSI scores among the three groups by one-way ANOVA variance analysis.And finding out of the correlation with DSI scores and VHI scores,GRBAS,MPT,jitter and shimmer.Results DSI improved significantly after surgery in the vocal polyps group (mean difference DSI-2.92 and 1.87,respectively) and also in the control group (mean difference DSI-2.92 and 2.30,respectively).However,no significant difference between the control group and the after surgery group.By using Pearson correlation analysis,this study observed a strong correlation between the DSI scores and the VHI scores,the values of GRBAS,shimmer (P < 0.01).Conclusions DSI is an effective and high accuracy multi-parameter system for evaluation of vocal cord polyp patients as an independent assessment of dysphonia.DSI also can be used in evaluation of the effects of the vocal polyps surgery.