功能过强性发声模式主观评估量表的临床应用研究

Clinical evaluation of subjective assessment of phonation patterns in patients with functional disorders

目的:探究功能过强性发声模式主观评估量表的临床应用。方法:选取2015年5月至2017年5月进行体检的正常嗓音患者(A组)以及同时期就诊的功能性病理嗓音(B组)、器质性病理嗓音患者(C组)各50例作为研究对象,对患者的嗓音障碍指数(voice handicap index,VHI)、GRBAS、硬起音率和声道紧张度进行评价,对主观评估进行效度和信度分析。结果:功能过强性发声模式的主观评估中,Cronbach’α系数为0.899,S-CVI/Ave指数为0.901,KMO检验值为0.867,Bartlett球形检验值P<0.001,表明该方法具有良好的效度和信度。结论:声道紧张度评分评估功能性过强发声模式具有良好的效度和信度,可在临床推广使用。

Objective:To explore the clinical application of the subjective assessment scale of phonation pattern with excessive function.Methods:50 patients with normal voice enrolled for physical examination from May 2015 to May 2017 were selected,and 50 patients with functional pathological voice and organic pathological voice in the same period were selected as the subjects.The subjects were sequentially classified as group A,group B,and group C.The voice handicap index(VHI),GRBAS,hard tone rate and vocal tract tone were evaluated,and validity and reliability of the subjective assessment were assessed.Results:In the subjective assessment of phonation patterns,the Cronbach alpha coefficient was 0.899,the S-CVI/Ave index was 0.901,the KMO test value was 0.867,and the Bartlett sphericity test P was less than 0.001.It showed that the method had good validity and reliability.(P<0.05).Conclusion:The vocal tract stress score can be used to assess the functional validity of the phonation pattern,and it has good validity and reliability.It can be widely used in clinical practice.