陈召灵 石帅 尤昌俊

[摘要]目的探討嗓音声学分析在声带息肉手术疗效评估中的应用情况。方法选取2018年10月至2019年10月于宿迁市第一人民医院收治的行嗓音显微外科手术的40例声带息肉患者为研究组，以同一时期20例嗓音正常社会成年人作为对照组。利用 Divas 计算机嗓音分析软件进行嗓音分析，选取基频（F0）、基频微扰（Jitter）、振幅微扰（Shimmer）3个参数，对测得的参数进行定量评估以判断嗓音恢复情况。结果术后2周、术后1月 Jitter 及 Shimmer 值均小于术前，差异有统计学意义（ P <0.05）;全组病例术前 Jitter 及 Shimmer 值均大于对照组，差异有极显著性统计学意义（ P <0.01）;术后1、2周 Jitter 及 Shimmer 值均大于对照组，差异有统计学意义（ P <0.05）。术后1月 Jitter、Shimmer 较对照组差异无统计学意义（ P >0.05）。结论声带息肉患者的嗓音参数与正常嗓音者明显不同，两者相比具有显著性差异。嗓音外科术后，每个阶段患者嗓音质量的恢复程度是不同的。Jitter、Shimmer 可以用作评估声带息肉手术疗效的敏感指标，可以动态评估声带息肉手术治疗效果及嗓音功能恢复改善情况。

[关键词]声带息肉;嗓音显微外科手术;嗓音声学分析;基频微扰;振幅微扰

[中图分类号] R767.4  [文献标识码] A   [文章编号]2095-0616（2021）24-0225-04

Voice acoustic analysis in the evaluation of the efficacy of vocal cord polyp surgery

CHEN  Zhaoling    SHI  Shuai    YOU  Changjun

Department of Otolaryngology， Suqian First People's Hospital， Jiangsu， Suqian 223800， China

[Abstract] Objective To investigate the application of voice acoustic analysis in the evaluation of the efficacy of vocal cord polyp surgery . Methods A total lof 40 patients with vocal cord polyps who underwent voice microsurgery admitted to Suqian First People's Hospital from October 2018 to October 2019 were selected as the study group， and 20 social adults with normal voices in the same period were selected as the control group. The voice analysis was performed using Divas computerized voice analysis software， and three parameters including fundamental frequency （F0）， Jitter and Shimmer were selected for further analysis. The measured parameters were quantitatively evaluated to determine the voice recovery condition . Results At 2 weeks and 1 month after surgery， the Jitter and Shimmer values were lower than those before surgery， with statistically significant differences （P <0.05）. Before surgery， the Jitter and Shimmer values of all the patients were higher than those of the normal participants in the control group， with extremely significant differences （P <0.01）. At 1 week and 2 weeks after surgery， the Jitter and Shimmer values of all the patients were higher than those of the normal participants in the control group， with statistically significant differences （P <0.05）. There were no statistically significant differences between the two groups in the Jitter and Shimmer values at 1 month after surgery （P >0.05）. Conclusion The voice parameters of patients with vocal cord polyps were significantly different from those with normal voices， and there is significant difference between them. After voice surgery， it can be seen that patients with different voice quality recovery at different stages. The Jitter and Shimmer values can be taken as sensitive indexes to evaluate the efficacy of vocal cord polyp surgery and can be used to dynamically evaluate the efficacy of vocal cord polyp surgery and the improvement of voice function recovery.

[Key words] Vocal cord polyps; Voice microsurgery; Voice acoustic analysis; Jitter; Shimmer

随着社会发展，人们对言语交流的要求不断提高，嗓音显微外科技术迅速发展。声带息肉主要表现为声音嘶哑，为嗓音疾病中较为常见及多发的疾病，对患者的语言交流及社会交往造成极大的影响。声带息肉手术后的声音恢复程度和恢复时间已为患者和临床医生普遍关注。本研究通过对声带息肉患者手术前、术后的嗓音功能的动态检测，了解声带息肉患者术后嗓音功能恢复情况，为临床疗效评估提供一定的指导。

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