嗓音障碍指数对嗓音外科手术效果评估的价值

目的运用改良中文嗓音障碍指数量表,结合客观检查手段,评估嗓音障碍指数对嗓音疾病患者临床疗效分析的价值。方法 50例嗓音疾病患者手术前后分别进行自我评估、声学分析和喉镜检查。自我评估采用嗓音障碍指数(voice handicap index,VHI)量表中文版,包括功能(F)、生理(P)、情感(E)三方面评分,其总和记为T,其中,P+F=TvH;通过Dr.Speech嗓音分析软件对患者的嗓音样本进行声学分析,观察基频微扰(jitter)、振幅微扰(shimmer)、标准化噪声能量(normalized noise energy,NNE)三个指标。纤维喉镜检查主要观察声带闭合情况,记为C。结果 VHI量表中剔除了情感(E)方面后的嗓音自我评估分数,F、P、TvH之间的相关性良好,F、P、TvH与jit-ter、shimmer、NNE之间有良好的相关性,声带闭合程度(C)与VHI量表中的F、P、TvH以及jitter、shimmer、NNE之间有良好的相关性。结论改良的中文VHI量表,可有效地评估嗓音疾病严重程度及临床疗效,有较高的临床应用价值。

The Application of Chinese Modified VHI Scale to the Clinical Evaluation of Patients with Voice Disorder Pre-and Post-operatively

Objective The modified Chinese version of VHI scale was used to evaluate the therapeutic value of the patients with voice disorder pre-and post-operatively,as well as other objective tests.Methods 50 patients with voice disorders were tested pre-and post-operatively,consisting of three parts:self-assessment,acoustic analysis,and fiberoptic laryngoscopy.The modified Chinese version of VHI scale was used in self-assessment,including functional(F),physiological(P),emotion(E),and the sum denoted by T.Voice anal...