单侧环杓关节脱位患者嗓音声学分析与VHI-10的相关性研究

Correlation between Voice Handicap Index-10(VHI-10) and Voice Acoustic Analysis in Patients with Unilateral Arytenoid Dislocation

目的探讨嗓音声学分析与简化嗓音障碍指数(voice handicap index-10,VHI-10)用于单侧环杓关节脱位患者嗓音质量评估的临床意义及其相关性。方法对36例(男性20例,女性16例)单侧环杓关节脱位患者和50例(男性25例,女性25例)嗓音正常者进行嗓音声学分析和VHI-10调查。嗓音声学参数包括基频微扰(jitter)、振幅微扰(shimmer)、基频(F0)和噪谐比(NHR);VHI-10调查记录总分值Tvh。结果 (1)单侧环杓关节脱位组的jitter、shimmer、NHR、F0和VHI-10与对照组比较差异均有统计学意义。(2)男性单侧环杓关节脱位组患者嗓音声学分析参数jitter、shimmer、NHR和F0与VHI-10之间无相关性;女性患者组,除F0与VHI-10之间无相关性外,其余3个jitter、shimmer、NHR与VHI-10之间均有相关性,相关系数分别为0.556,0.719和0.793。结论计算机声学分析的各项参数均可作为衡量单侧环杓关节脱位患者嗓音音质的有效参数。单侧环杓关节脱位对患者生活质量具有显著影响,且不同性别的患者其生活质量所受影响的程度不同。

Objective To study the relationship between voice acoustic analysis（VAA）and voice handicap index-10（VHI-10） in patients with unilateral arytenoid dislocation and to investigate the characteristic of the VHI-10. Methods 50 subjects with normal voice and 36 patients with unilateral arytenoid dislocation were tested by VAA and VHI-10. VAA include jitter、shimmer、F0 and NHR. The total score of VHI-10 recorded as Tvh. Results①There were significant differences in jitter、shimmer、F0、NHR and VHI-10 between unilateral arytenoid dislocation group and control group.②There was no correlation between all acoustic parameters and VHI-10 in male. All acoustic parameters except F0 had significant correlations with VHI-10 in female and the correlation coefficient were 0.556, 0.556 and 0.719. Conclusion The acoustic parameters are effective parameters to measure the voice quality of patients with unilateral arytenoid dislocation. Unilateral arytenoid dislocation significantly affects the quality of life in patients. However, the different of sex will result in the effect on the quality of life in patients inconsistently.