患者自我评估与嗓音声学分析的比较

目的分析嗓音疾病患者自我评估的可靠性及其与嗓音声学检测的相关性。方法对35例嗓音疾病患者进行自我评估和嗓音声学检测。采用嗓音障碍指数(voice handicap index，VHI)和嗓音相关生活质量(voicerelated quality of life，V—RQOL)评估法。嗓音声学检测主要测试基频微扰、振幅微扰及标准化噪声能量三个参数，将自我评估结果与嗓音声学检测结果进行相关分析。结果VHI的功能、生理和情感三个范畴之间与V—RQOL的生理一功能、社会一情感两个范畴间有相关性；声学检测三个参数间相关性良好；而嗓音自我评估与声学参数间无相关性。结论嗓音疾病患者自我评估方法是获得患者全面信息的重要方法．客观检查不能预测主观评估的结果．

Correlation Between Subjective Measurement and Voice Acoustic Analysis in Dysphonic Patients

Objective To analysis the relationshi p between patient-base outcome measures and voice acoustic analysis (VAA). Methods 35 dysphonia patients underwent patient-base out come measures including voice handicap index (VHI) and the voice-related qualit y of life (V-RQOL) , and they also tested by VAA. VHI and V-RQOL provided viable subjective information for evaluation of voice disorders. VAA used objective cr iteria to evaluate the severity of voice disorders. Results The result showed that each VHI parameter provid e a significant reliability with other VHI parameters. So did V-RQOL parameters. Three VAA parameters also demonstrated significant reliability with each other. However, when comparing across VHI/V-RQOL and VAA, reliability was poor. Conclusion VHI and V-RQOL are reliable subjective outcome measures in the field of voice disorders. With such a large discrepancy between the results of objective and subjective measures, no objective parameter can ye t be regarded as a definitive prognostic factor in a subjective evaluation of dys phonic patients.