电声门图参数与声嘶的心理听觉评价的相关关系研究

Relationship Between Electroglottography and Auditory Assessment of Hoarseness

目的 研究电声门图参数与声嘶程度心理听觉评价之间的关系。方法 对 134例受试者进行电声门图 (EGG)检查 ,按心理听觉评估结果 ,根据GRBAS分级 ,将 36例正常人及 98例病理嗓音患者分成四组 ,对各组的电声门图参数及其与声嘶程度的关系进行统计学处理。结果 各组EGG参数均有显著性差异 ,标准化噪声能量(NNE)与接触率 (CQ)是判别声嘶程度最有意义的两个参数 ,5个参数 (jitter,shimmer,NNE ,CQ ,CQP)均与声嘶程度心理听觉评价有良好的相关关系 ,且频率微扰与粗糙声 (R) ,NNE、CQ与气息声 (B)相关性较好。结论 电声门图作为一种反映声带振动模式的方法 ,它和心理听觉评价声嘶的分级和程度有显著相关性 ,两者皆为临床应用提供诊断依据 。

Objective To investigate the relationship between EGG and auditory assessment of hoarseness.Methods 22 normal individuals and 98 cases of pathological voice were divided into 4 groups with different hoarseness and were marked by 'GRBAS'.All of them accepted EGG test. The parameters were analyzed by SPSS statistical software.Results There was significant difference on EGG parameters among each group. NNE and CQ were the major parameters in descriptive on hoarseness. There was good correlation between 5 parameters and hoarseness assessment, also there was good correlation between jitter and roughness and between NNE,CQ and breathiness. Conclusion EGG and anditory assessment both can offer a useful help to assess hoarseness,but EGG was a more accurate and objective method.