论文部分内容阅读
目的探讨嗓音主客观检测方法在成年女性嗓音评估中的应用价值。方法受试者159例分为三组:青年组,正常青年女性48例,年龄20~43岁;更年期组,更年期女性59例,年龄45~55岁;中老年组,正常中老年女性52例,年龄56~88岁。采用嗓音障碍VAS评分、嗓音GRBAS主观听感知评估和嗓音声学检测,比较不同生理时期嗓音主观评估和嗓音声学检测结果。结果中老年组嗓音障碍VAS评分高于更年期组[(42.79±22.54)分vs.(35.00±16.53)分](P<0.05)。中老年组总嘶哑度和粗糙度重度异常的比例高于更年期组(44.23%vs.23.73%和42.31%vs.23.73%)(P<0.05)。嗓音声学检测显示,与青年组比较,更年期组和中老年组的基频微扰和振幅微扰均升高,基频、最长发声时间和发音障碍指数则降低;中老年组的变化较更年期组明显(P<0.05或P<0.01)。结论更年期和中老年女性嗓音功能可出现一些衰退改变。应用嗓音主观评估及声学检测方法可对成年女性嗓音功能进行综合全面的评价。
Objective To explore the value of subjective and objective voice detection in voice assessment of adult women. Methods 159 subjects were divided into three groups: young group, 48 normal young women, aged 20 to 43 years; menopause group, 59 menopausal women, aged 45 to 55 years; middle-aged and elderly women, 52 cases of normal , Age 56 ~ 88 years old. VAS scores of vocal disorders, voice subjective auditory perception of GRBAS and vocal acoustics were compared to evaluate the subjective assessment of voice and voice acoustics in different physiological periods. Results The VAS score of vocal disturbance in middle-aged and elderly patients was higher than that in menopause group [(42.79 ± 22.54) vs (35.00 ± 16.53) points] (P <0.05). The proportion of severe hoarseness and roughness in middle-aged and elderly patients was higher than that in menopause (44.23% vs.23.73% and 42.31% vs.23.73%, P <0.05). Vocal acoustics tests showed that compared with the young group, both the fundamental frequency and the amplitude perturbation increased in the menopause group and the middle-aged group, while the base frequency, the longest vocalization time and the dysphonia index decreased; Group was significantly (P <0.05 or P <0.01). Conclusion Menopausal and middle-aged women may experience some decline in voice function. Subjective assessment of voice and acoustic detection methods can be applied to adult voice comprehensive evaluation of women.