嗓音障碍指数主观评估与发音障碍严重程度指数客观检测的相关性分析

目的 探讨声带息肉患者嗓音障碍指数（voice handicap index，VHI）量表自我评估和发音障碍严重程度指数（dysphonia severity index，DSI）客观评估的相关性。 方法 取104例声带息肉患者，用VHI中文版量表进行自评及DIVAS2.5声学分析软件分析DSI，按性别、侧别、形状、大小分组比较，分析VHI和DSI的相关性。结果 声带息肉的大小、形状对VHI各指标差异均无统计学意义，但较大或广基底形息肉基频微扰较重；女性患者功能、生理和VHI总体评价高于男性，但DSI却低于男性；双侧息肉比单侧在生理方面影响较重，同时DSI也较重；VHI量表各指标与嗓音声学分析各参数之间无明显相关性。结论 目前临床上评估嗓音障碍程度的两种主客观方法都不理想，应进一步研究更好的评价方法。

Correlation between voice handicap index and voice acoustic analysis in patients with vocal cord polyps

ABSTRACT]OBJECTIVETo investigate the relationship between self-assessment of Voice Handicap Index (VHI) and objective detection of Dysphonia Severity Index (DSI) in vocal ford polyp patients.METHODSAll 104 vocal cord polyp patients assessed the Chinese version of VHI scale by themselves. The DSI was calculated by acoustic analysis of DIVAS2.5. The correlation between VHI and DSI was analyzed in Pearson test.RESULTS There was no significant difference in each index of VHI scale score by side and shape, but the Shimmer of larger or wide-base polyps was more severe. The female patients' function, physiology, and VHI total score were higher than that of male patients, but the DSI was lower than that of male patients. The physiology score was higher in bilateral vocal cord polyp patients, so as well as DSI. There was no significant correlation between each item of VHI scale score and DSI.CONCLUSIONNeither the current subjective VHI nor objective DSI in clinical assessment of voice disorders disability is ideal, further research and better evaluation methods should be further explored.