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目的:研究嗓音疾病患者手术前后的自我评估、声学分析、喉镜检查及其相关性。方法:对50例嗓音疾病患者手术前后分别进行自我评估、声学分析和喉镜检查3项内容。自我评估采用嗓音障碍指数(VHI)量表中文版,包括功能(F)、生理(P)、情感(E)3个方面,其总和记为T。声学分析通过嗓音分析软件Dr.Speech对患者的声音样本进行分析,选取基频微扰(J)、振幅微扰(S)、标准化噪声能量(NNE)3个参数。喉镜检查为客观的形态学检查,主要观察声带的闭合情况。结果:VHI量表中除E外,F、P、TVH(TVH=F+P)之间的相关性良好,声学分析J、S、NNE3个参数之间相关性良好,VHI量表中除E外,F、P、TVH与声学分析参数J、S、NNE之间有良好的相关性,闭合程度与VHI量表中除E外的F、P、TVH以及声学分析参数J、S、NNE之间有良好的相关性,以上均应用Pearson相关检验。结论:VHI量表中文版以患者的主观感受为中心,对嗓音疾病的生活影响进行自我评估,受东西方文化差异、年龄、教育程度等影响,存在一定的局限性。声学分析则从客观方面详细地分析了患者的嗓音质量,评估手术疗效。喉镜检查从形态学方面提供了极好的佐证。三者结合的一致性能对嗓音疾病起到综合评估作用。
OBJECTIVE: To study the self-assessment, acoustic analysis, laryngoscopy and their correlation before and after the operation of patients with voice diseases. Methods: 50 cases of patients with voice disease before and after surgery were self-assessment, acoustic analysis and laryngoscopy three items. The self-assessment adopted the Chinese version of the VHI scale, which included three aspects of function (F), physiology (P) and emotion (E). Acoustic analysis Through the voice analysis software Dr.Speech, the patient’s voice samples were analyzed and three parameters of fundamental frequency perturbation (J), amplitude perturbation (S) and normalized noise energy (NNE) were selected. Laryngoscopy for objective morphological examination, the main observation vocal cords closed situation. Results: In VHI, there was a good correlation between F, P and TVH (TVH = F + P) except for E, and there was a good correlation between the three parameters of acoustic analysis J, S and NNE. F, P, TVH and acoustic analysis parameters J, S, NNE have a good correlation between the degree of closure and the VHI in addition to E except F, P, TVH and acoustic analysis parameters J, S, NNE Between the good correlation, the above are Pearson correlation test. CONCLUSION: The Chinese version of the VHI scales itself with subjective feelings of the patients and self-evaluates the life impact of vocal diseases. Due to the cultural differences between East and West, age and educational level, the Chinese version of VHI has some limitations. Acoustic analysis from the objective aspects of a detailed analysis of the patient’s voice quality, evaluate the efficacy of surgery. Laryngoscopy provides excellent evidence of morphology. Consistency of the three combined to play a comprehensive assessment of voice disease.