非器质性嗓音障碍成人的反流症状和发声特点。

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Nyasa E Groenewald, Maria Du Toit, Marien A Graham, Carl Swanepoel, Giselle Maartens, Jeannie Van der Linde
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引用次数: 0

摘要

背景: 喉咽反流(LPR)是一种常见病,可导致嗓音障碍,但由于临床症状与器质性病变之间的相关性有限,其诊断十分困难。人们探索了各种工具和方法来帮助诊断 LPR: 研究非器质性嗓音障碍成人的反流症状、声学、知觉和物理发声特征、声门功能指数(GFI)和发声障碍指数(VHI)之间的关联: 采用回顾性队列探索性研究设计,在南非豪登省一家私人耳鼻喉专科诊所收集了 51 名非器质性嗓音障碍成人的数据。研究人员比较了反流症状指数(RSI)、声学特征(抖动、颤动和基频[F0])、最大发音时间、知觉(GRBASI)和物理发声特征、GFI 和 VHI 之间的定量结果: RSI 与 GFI、VHIP 和咖啡因摄入量呈正相关,表明反流症状会随着各项指标得分的增加而加重。此外,GFI 与 VHIP、声音嘶哑等级与抖动、应变与 VHIP、应变与 VHI 总分(VHIT)之间以及气喘与抖动之间也存在中度相关性。在 VHI 的各个分项之间、抖动与闪烁之间、F0-男性与 VHI 的躯体症状(VHIP)之间都发现了非常强的相关性: 结果表明,反流症状、声乐特征、GFI 和 VHI 之间存在关联。根据所发现的相关性,将这些工具结合使用可改善 LPR 的临床诊断。这些研究结果的影响是有希望的,但建议进一步研究:本研究为使用主观测量来确定 LPR 症状以及声学分析来支持 LPR 的准确临床诊断的知识体系做出了贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reflux symptoms and vocal characteristics in adults with non-organic voice disorders.

Background:  Laryngopharyngeal reflux (LPR) is prevalent and can lead to voice disorders, but its diagnosis is difficult, because of limited correlations between clinical symptoms and organic pathology. Various tools and methods have been explored to aid a diagnosis of LPR.

Objective:  To investigate associations between reflux symptoms, acoustic-, perceptual-, and physical vocal characteristics, glottal function index (GFI), and vocal handicap index (VHI) in adults with non-organic voice disorders.

Methods:  Data of 51 adults with non-organic voice disorders were collected, using a retrospective cohort explorative research design, at a private ear, nose and throat specialist practice in Gauteng, South Africa. Quantitative outcomes were compared between reflux symptom index (RSI), acoustic characteristics (jitter, shimmer and fundamental frequency [F0]), maximum phonation time, perceptual- (GRBASI) and physical vocal characteristics, GFI and VHI.

Results:  The RSI showed positive fair correlations against GFI, VHIP and caffeine intake, indicating an increase in reflux symptoms with higher scores on the various measures. Moderate correlations were also found between GFI and VHIP, grade of hoarseness and jitter, strain and VHIP, strain and VHI total (VHIT) and between Asthenia and jitter. Very strong correlations were found within the various subsections of the VHI as well as between jitter and shimmer and between F0-male and physical symptoms of the VHI (VHIP).

Conclusion:  Results indicated associations between reflux symptoms, vocal characteristics, the GFI and the VHI. Based on the correlations found these tools used in conjunction could improve clinical diagnosis of LPR. Implications of these findings are promising, but further research is recommended.Contribution: This study contributes to the body of knowledge to support the accurate clinical diagnosis of LPR using subjective measures to determine LPR symptoms, as well as acoustic analysis.

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来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
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