{"title":"妊娠对声音的影响:一项前瞻性观察研究。","authors":"Burak Ulkumen, Burcu Artunc-Ulkumen, Onur Celik","doi":"10.1080/14015439.2021.1903076","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to assess if there is a significant change in voice of pregnant women by the end of third trimester.</p><p><strong>Materials and methods: </strong>Forty-nine pregnant women were enrolled in this study between April 2019 and March 2020. Subjective and objective voice evaluation was conducted in the third trimester and three months after delivery. The Turkish version of the VHI-10 questionnaire was filled out by every participant. GRBAS scale was used for perceptual voice evaluation. Acoustic analyses were conducted by Multi-Dimensional Voice Program (MDVP) (Computerized Speech Lab, Kay Elemetrics Corporation, Lincoln Park, NJ). Fundamental frequency (<i>fo</i>), Jitter percent (Jitt), Shimmer percent (Shim), noise to harmonic ratio (NHR), maximum phonation time (MPT), voice turbulence index (VTI), vocal intensity, and scale parameters were categorized as predelivery (a) and postdelivery (b).</p><p><strong>Results: </strong>Comparison of acoustic parameters of the third trimester with the third month postpartum revealed statistically significant increases for <i>fo</i> (<i>p</i> = .013), MPT (<i>p</i> = .008), and vocal intensity (<i>p</i>≤.001) as well as a significant decrease for VTI (<i>p≤</i> .001). No statistically significant difference was found for NHR, Jitt, and Shim. Comparison of both VHI-10 and GRBAS scores revealed statistically significant decreases.</p><p><strong>Conclusions: </strong>Disturbances in certain vocal parameters suggest that vocal abnormalities observed during pregnancy are mainly due to anatomical alterations of the lower respiratory system. It would be appropriate to warn pregnant women about bad vocal habits and vocal hygiene. In addition, it would be appropriate to recommend professional voice support to pregnant women who use their voices intensively due to their profession.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":"47 3","pages":"183-188"},"PeriodicalIF":0.7000,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2021.1903076","citationCount":"2","resultStr":"{\"title\":\"Impact of pregnancy on voice: a prospective observational study.\",\"authors\":\"Burak Ulkumen, Burcu Artunc-Ulkumen, Onur Celik\",\"doi\":\"10.1080/14015439.2021.1903076\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>We aimed to assess if there is a significant change in voice of pregnant women by the end of third trimester.</p><p><strong>Materials and methods: </strong>Forty-nine pregnant women were enrolled in this study between April 2019 and March 2020. Subjective and objective voice evaluation was conducted in the third trimester and three months after delivery. The Turkish version of the VHI-10 questionnaire was filled out by every participant. GRBAS scale was used for perceptual voice evaluation. Acoustic analyses were conducted by Multi-Dimensional Voice Program (MDVP) (Computerized Speech Lab, Kay Elemetrics Corporation, Lincoln Park, NJ). Fundamental frequency (<i>fo</i>), Jitter percent (Jitt), Shimmer percent (Shim), noise to harmonic ratio (NHR), maximum phonation time (MPT), voice turbulence index (VTI), vocal intensity, and scale parameters were categorized as predelivery (a) and postdelivery (b).</p><p><strong>Results: </strong>Comparison of acoustic parameters of the third trimester with the third month postpartum revealed statistically significant increases for <i>fo</i> (<i>p</i> = .013), MPT (<i>p</i> = .008), and vocal intensity (<i>p</i>≤.001) as well as a significant decrease for VTI (<i>p≤</i> .001). No statistically significant difference was found for NHR, Jitt, and Shim. Comparison of both VHI-10 and GRBAS scores revealed statistically significant decreases.</p><p><strong>Conclusions: </strong>Disturbances in certain vocal parameters suggest that vocal abnormalities observed during pregnancy are mainly due to anatomical alterations of the lower respiratory system. It would be appropriate to warn pregnant women about bad vocal habits and vocal hygiene. In addition, it would be appropriate to recommend professional voice support to pregnant women who use their voices intensively due to their profession.</p>\",\"PeriodicalId\":49903,\"journal\":{\"name\":\"Logopedics Phoniatrics Vocology\",\"volume\":\"47 3\",\"pages\":\"183-188\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2022-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1080/14015439.2021.1903076\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Logopedics Phoniatrics Vocology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/14015439.2021.1903076\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/3/31 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Logopedics Phoniatrics Vocology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/14015439.2021.1903076","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/3/31 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 2
摘要
目的:我们旨在评估孕妇在妊娠晚期是否有明显的声音变化。材料和方法:2019年4月至2020年3月期间，49名孕妇参加了这项研究。在妊娠晚期和分娩后3个月分别进行主客观嗓音评价。VHI-10问卷的土耳其语版本由每个参与者填写。感知语音评价采用GRBAS量表。声学分析由多维语音程序(MDVP)(计算机语音实验室，Kay emetrics Corporation, Lincoln Park, NJ)进行。基频(fo)、抖动率(Jitt)、闪烁率(Shim)、噪声谐波比(NHR)、最大发声时间(MPT)、声音湍流指数(VTI)、声音强度和音阶参数分为产前(a)和产后(b)。孕晚期声学参数与产后第3个月比较，fo (p = 0.013)、MPT (p = 0.008)、声音强度(p≤0.001)升高有统计学意义，VTI降低有统计学意义(p≤0.001)。NHR、Jitt和Shim无统计学差异。VHI-10和GRBAS评分的比较显示有统计学意义的下降。结论:某些声带参数的紊乱提示妊娠期间观察到的声带异常主要是由于下呼吸系统的解剖改变。提醒孕妇注意不良的发声习惯和发声卫生是合适的。此外，建议对因其职业而频繁使用声音的孕妇提供专业的声音支持也是适当的。
Impact of pregnancy on voice: a prospective observational study.
Purpose: We aimed to assess if there is a significant change in voice of pregnant women by the end of third trimester.
Materials and methods: Forty-nine pregnant women were enrolled in this study between April 2019 and March 2020. Subjective and objective voice evaluation was conducted in the third trimester and three months after delivery. The Turkish version of the VHI-10 questionnaire was filled out by every participant. GRBAS scale was used for perceptual voice evaluation. Acoustic analyses were conducted by Multi-Dimensional Voice Program (MDVP) (Computerized Speech Lab, Kay Elemetrics Corporation, Lincoln Park, NJ). Fundamental frequency (fo), Jitter percent (Jitt), Shimmer percent (Shim), noise to harmonic ratio (NHR), maximum phonation time (MPT), voice turbulence index (VTI), vocal intensity, and scale parameters were categorized as predelivery (a) and postdelivery (b).
Results: Comparison of acoustic parameters of the third trimester with the third month postpartum revealed statistically significant increases for fo (p = .013), MPT (p = .008), and vocal intensity (p≤.001) as well as a significant decrease for VTI (p≤ .001). No statistically significant difference was found for NHR, Jitt, and Shim. Comparison of both VHI-10 and GRBAS scores revealed statistically significant decreases.
Conclusions: Disturbances in certain vocal parameters suggest that vocal abnormalities observed during pregnancy are mainly due to anatomical alterations of the lower respiratory system. It would be appropriate to warn pregnant women about bad vocal habits and vocal hygiene. In addition, it would be appropriate to recommend professional voice support to pregnant women who use their voices intensively due to their profession.
期刊介绍：
Logopedics Phoniatrics Vocology is an amalgamation of the former journals Scandinavian Journal of Logopedics & Phoniatrics and VOICE.
The intention is to cover topics related to speech, language and voice pathology as well as normal voice function in its different aspects. The Journal covers a wide range of topics, including:
Phonation and laryngeal physiology
Speech and language development
Voice disorders
Clinical measurements of speech, language and voice
Professional voice including singing
Bilingualism
Cleft lip and palate
Dyslexia
Fluency disorders
Neurolinguistics and psycholinguistics
Aphasia
Motor speech disorders
Voice rehabilitation of laryngectomees
Augmentative and alternative communication
Acoustics
Dysphagia
Publications may have the form of original articles, i.e. theoretical or methodological studies or empirical reports, of reviews of books and dissertations, as well as of short reports, of minor or ongoing studies or short notes, commenting on earlier published material. Submitted papers will be evaluated by referees with relevant expertise.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
