Ayshan Pekdemir, Yusuf Kemal Kemaloğlu, Hakan Gölaç, Ayşe İriz, Oğuz Köktürk, Güven Mengü
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引用次数: 0
摘要
目的:阻塞性睡眠呼吸暂停(OSA)患者的上气道发生静态和动态软组织变化,导致低通气和/或呼吸暂停,而上气道同时也是声道或言语道。在这项研究中,我们除了研究打鼾和 OSA 患者元音的扰动和共振值外,还研究了嗓音障碍指数-10(VHI-10)和与嗓音相关的生活质量(V-RQOL)得分:方法:采用埃普沃思嗜睡量表(ESS)、STOP-Bang评分、体重指数(BMI)、颈围(NC)、改良马兰帕蒂指数、扁桃体大小、呼吸暂停-低通气指数、VHI-10和V-RQOL评分、元音的扰动值和心形值以及语音样本的基频进行评估:数据显示,在对照组和 OSA 受试者之间,除扰动值和心形值有显著差异外,VHI-10 和 V-RQOL 的得分也有显著差异,而且两者均与 ESS 和 NC 显著相关。此外,还发现体重指数(BMI)和扁桃体大小与伴音和扰动值有一些明显的相关性:我们的数据显示:(i) VHI-10 和 V-RQOL 可以很好地识别 OSA 患者;(ii) 扰动值和正音值尤其与扁桃体大小有关,还与体重指数有关。因此,我们可以说,在尝试使用嗓音参数筛查 OSA 时,VHI-10 和 V-RQOL 似乎比客观嗓音测量更好,因为客观嗓音测量可能会因受试者扁桃体大小和体重指数而变化。
The Self-Assessment, Perturbation, and Resonance Values of Voice and Speech in Individuals with Snoring and Obstructive Sleep Apnea.
Purpose: The static and dynamic soft tissue changes resulting in hypopnea and/or apnea in the subjects with obstructive sleep apnea (OSA) occur in the upper airway, which also serves as the voice or speech tract. In this study, we looked for the Voice Handicap Index-10 (VHI-10) and Voice-Related Quality of Life (V-RQOL) scores in addition to perturbation and formant values of the vowels in those with snoring and OSA.
Methods: Epworth Sleepiness Scale (ESS), STOP-Bang scores, Body-Mass Index (BMI), neck circumference (NC), modified Mallampati Index, tonsil size, Apnea-Hypopnea Index, VHI-10 and V-RQOL scores, perturbation and formant values, and fundamental frequency of the voice samples were taken to evaluate.
Results: The data revealed that not the perturbation and formant values but scores of VHI-10 and V-RQOL were significantly different between the control and OSA subjects and that both were significantly correlated with ESS and NC. Further, a few significant correlations of BMI and tonsil size with the formant and perturbation values were also found.
Conclusions: Our data reveal that (i) VHI-10 and V-RQOL were good identifiers for those with OSA, and (ii) perturbation and formant values were related to particularly tonsil size, and further BMI. Hence, we could say that in an attempt to use a voice parameter to screen OSA, VHI-10, and V-RQOL appeared to be better than the objective voice measures, which could be variable due to the tonsil size and BMI of the subjects.
期刊介绍:
The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.