变应性鼻炎患者嗓音调查和分析

Investigation and analysis of voice in patients with allergic rhinitis

目的探讨变应性鼻炎(AR)患者的嗓音声学特征。方法对106例AR患者进行喉镜观察、嗓音障碍指数(VHI)评估及嗓音声学分析,并与健康对照组比较。结果 106例AR患者中63例(59.4%)出现嗓音症状,其中出现2个或以上嗓音症状者37例(34.9%);AR组VHI量表评分与对照组比较差异有统计学意义(P<0.01),AR患者功能和生理评分高于情感评分;AR组最长发声时间(MPT)均值与对照组比较明显降低,两组间差异有统计学意义(P<0.01)。结论 AR是引起嗓音障碍的一个潜在危险因素。

【Objective】 To investigate the voice features of patients with allergic rhinitis（AR）. 【Methods】A total of 106 patients with allergic rhinitis received laryngoscopic examination, evaluation of voice handicap index（VHI） and analysis of vocal acoustics, and were compared with 94 normal controls. 【Results】 Of the106 patients, voice symptoms occurred in 63 cases（59.4%）, two and more than two voice symptoms occurred in 37 cases（34.9%）. The difference in the evaluation of VHI was statistically significant between both groups（P〈0.01）. In the AR group, the physiological and functional scores were higher than the emotional score. The mean maximum phonation time（MPT） of the AR patients was significantly shorter than that of the normal control group（P〈0.01）. 【Conclusion】 Allergic rhinitis may be a potential risk factor contributing to dysphonia.