發(fā)布時(shí)間：2019-06-20 23:07

【摘要】：目的:探討上氣道多平面擴(kuò)容術(shù)對(duì)重度阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS)患者嗓音的影響。方法:對(duì)26例重度OSAHS患者于上氣道多平面擴(kuò)容術(shù)前后,分別應(yīng)用針對(duì)嗓音相關(guān)的主觀調(diào)查問卷和嗓音頻譜分析軟件進(jìn)行客觀統(tǒng)計(jì)學(xué)分析。結(jié)果:主觀調(diào)查問卷結(jié)果顯示,26例患者上氣道多平面擴(kuò)容術(shù)后4例(15.4%)出現(xiàn)短時(shí)間的輕度腭咽閉合功能不全所致的鼻腔反流現(xiàn)象,均于術(shù)后1周內(nèi)消失;3例(11.5%)術(shù)后發(fā)聲有輕度鼻音增高,尤以術(shù)后1周內(nèi)較明顯而后逐漸消失;2例(7.7%)扁桃體Ⅲ度肥大者訴發(fā)聲清晰度較前提高,原有輕微含糖音消失;總體評(píng)價(jià)是嗓音障礙指數(shù)量表、嗓音相關(guān)生活質(zhì)量量表評(píng)分手術(shù)前后均無明顯變化(P0.05)。嗓音客觀參數(shù)基頻F0和F1、F2、F3及F4共振峰頻率手術(shù)前后均無統(tǒng)計(jì)學(xué)差異。結(jié)論:上氣道多平面擴(kuò)容術(shù)能夠解除重度OSAHS患者上氣道的阻塞性因素,同時(shí)進(jìn)行鼻腔和咽腔的塑形,在一定程度上改變了聲道共鳴腔,但對(duì)重度OSAHS患者嗓音的主觀心理聽覺評(píng)估無明顯變化,嗓音客觀參數(shù)基頻F0和F1、F2、F3及F4四個(gè)共振峰頻率均無明顯的變化。
[Abstract]:Objective: to investigate the effect of upper airway multiplanar dilatation on voice in patients with severe obstructive sleep apnea hypopnea syndrome (OSAHS). Methods: 26 patients with severe OSAHS were analyzed by subjective questionnaire and voice spectrum analysis software before and after multiplanar dilatation of upper airway. Results: the results of subjective questionnaire showed that nasal regurgitation caused by mild velopharyngeal insufficiency occurred in 4 cases (15.4%) after multiplanar dilatation of upper airway, disappeared within 1 week after operation, and slightly increased in 3 cases (11.5%), especially within 1 week after operation. In 2 cases (7.7%), the vocal clarity of tonsil third degree hypertrophic patients was higher than that before operation, and the original slight sugar content disappeared, and the overall evaluation was voice disorder index scale and voice related quality of life scale. There was no significant change in the score of voice related quality of life scale before and after operation (P 0.05). There was no significant difference in the frequency of fundamental frequency F0 and F1, F2, F3 and F4 before and after operation. Conclusion: multiplanar dilatation of upper airway can relieve the obstructive factors of upper airway in patients with severe OSAHS, and shape the nasal cavity and pharynx cavity to a certain extent, but there is no significant change in subjective psychological and auditory evaluation of voice in patients with severe OSAHS, but there is no significant change in the frequencies of the four resonance peaks of F0 and F1, F2, F3 and F4 in patients with severe OSAHS.
【作者單位】： 貴州省人民醫(yī)院耳鼻咽喉-頭頸外科;
【基金】：2011年貴州省科學(xué)技術(shù)基金項(xiàng)目(黔科合J[2011]2253)
【分類號(hào)】：R766

【參考文獻(xiàn)】

相關(guān)期刊論文 前7條

1 周舟;劉明;葛平江;;嗓音客觀評(píng)估的研究進(jìn)展[J];臨床耳鼻咽喉頭頸外科雜志;2012年06期

2 李博,張道行;懸雍垂腭咽成形術(shù)前后的嗓音分析[J];中國聽力語言康復(fù)科學(xué)雜志;2004年01期

3 張明星;溫武;;嗓音主觀評(píng)估研究進(jìn)展[J];聽力學(xué)及言語疾病雜志;2007年06期

4 關(guān)瑛;張明;王麗萍;畢英;付曉威;閆`，

本文編號(hào)：2503586