咽喉反流引起嗓音障碍与嗓音功能特点分析

Analysis on the Characteristics of Vocal Dysfunction and Vocal Function Caused by Throat Reflux

目的探讨咽喉反流引起嗓音障碍与嗓音功能的特点。方法选选取2017年7月至2018年10月于我院就诊的患者80例,其中40例咽喉反流患者为观察组,其余40例患者为对照组。对两组患者进行嗓音障碍指数(VHI)自我评估和嗓音客观声学分析以及电声门图检测,分析反流症状指数评分(RSI)及反流检查评分(RFS)与VHI的相关性。结果观察组患者的嗓音基频、基频微扰、振幅微扰均显著高于对照组,最长发声时间显著短于对照组(P <0.05); Spearman秩相关分析结果显示, RFS与VHI具有一定的相关性(rs=0.241 2, P <0.01)。结论 VHI量表可反映咽喉反流患者的嗓音障碍程度及反流症状严重程度,RSI、 RFS和嗓音客观声学分析以及电声门图检测等可反映患者嗓音功能变化情况,同时RFS与VHI存在一定关联性。

Objective To explore the characteristics of vocal dysfunction and vocal function caused by laryngo-pharyngeal reflux (LPR). Methods 80 cases of patients admitted to our hospital from July 2017 to October 2018 were selected. 40 cases of LPR patients were set as the observation group, and other 40 cases were set as the control group. Both groups received voice handicap index (VHI) self-assessment, objective acoustic analysis and electroglottography detection. The correlations ofVHIwith reflux symptomindex score (RSI) and reflux finding score (RFS) were analyzed. Results The voice fundamental frequency, jitter and shimmer of the observation group were significantly higher than those of the control group, and the maximum phonation time was significantly shorter than that of the control group (P <0.05). Spearman rank correlation analysis showed that RFS had a certain correlation with VHI (rs = 0.241 2, P <0.01). Conclusions The VHI scale can reflect the degree of vocal disorder and the severity of reflux symptoms in patients with LPR, and RSI, RFS, objective acoustic analysis and electroglottography detection can reflect the changes in the voice function of patients. There is a certain correlation between RFS and VHI.