后位聚焦口腔共鸣障碍对听障儿童嗓音的影响

发布时间：2019-02-14 11:27

【摘要】：目的探讨后位聚焦口腔共鸣障碍对听障儿童嗓音的影响。方法选取15例3~6岁存在后位聚焦口腔共鸣障碍的听障儿童(共鸣障碍组),20例3~6岁无口腔共鸣障碍的听障儿童(对照组),使用嗓音疾病评估仪分别对两组对象发/錥/音时的嗓音进行声学分析,比较两组的基频(F0)、基频标准差(F0SD)、基频微扰(jitter)、振幅微扰(shimmer)和标准化噪声能量(NNE)。结果对照组F0、F0SD、jitter、shimmer、NNE值分别为323.52±45.73Hz、5.35±3.38 Hz、0.27%±0.16%、2.53%±0.84%、-16.03±3.16dB;共鸣障碍组分别为328.44±89.41Hz、8.59±7.42Hz、0.74%±0.79%、4.48%±1.44%、-14.92±7.27dB,其中jitter、shimmer值显著大于对照组(P0.05);共鸣障碍组儿童主要表现为功能亢进型嗓音障碍,shimmer值异常率最大(86.67%,13/15),其次是F0(66.67%,10/15)、jitter(53.33%,8/15)和F0SD的异常率(53.33%,8/15),异常率最小的是NNE(20%,3/15)。结论后位聚焦口腔共鸣障碍听障儿童的嗓音异常率较高,主要以jitter、shimmer值升高为主,主要表现为功能亢进型嗓音障碍。
[Abstract]:Objective to investigate the effect of posterior focus oral resonance disorder on the voice of children with hearing impairment. Methods Fifteen cases of hearing impaired children aged 3 to 6 years with posterior focus oral resonance disorder (Resonance Disorder group) and 20 children aged 3 to 6 years without oral resonance disorder (control group) were selected. The voice of two groups were analyzed by using the voice disease assessment instrument. The fundamental frequency (F 0), the fundamental frequency standard deviation (F0SD) and the fundamental frequency perturbation (jitter),) were compared between the two groups. Amplitude perturbation (shimmer) and standardized noise energy (NNE). Results the NNE values of the control group were 323.52 卤45.73 Hz,0.27% 卤3.38 Hz,0.27% 卤0.16 卤2.53% 卤0.84 卤16.03 卤3.16 dB, respectively. In the Resonance Disorder group, the values of jitter,shimmer were 328.44 卤89.41 Hz, 8.59 卤7.42 Hz, 0.74% 卤0.79, 4.48% 卤1.44% and 14.92 卤7.27 dB, respectively, and the jitter,shimmer value was significantly higher than that in the control group (P0.05). In the resonance disorder group, the children with hyperfunctional voice disorder had the highest abnormal rate of shimmer (86.67 / 13 / 15), followed by F0 (66.6710 / 15 / 15 / 53.33). The abnormal rate of 8 / 15 and F0SD (53.33 / 15) was lowest in NNE (20 / 3 / 15). Conclusion the abnormal rate of voice in children with oral resonance disorder and hearing impairment in posterior focus is higher, mainly in the increase of jitter,shimmer value, and it is mainly characterized by hyperfunctional voice disorder.
【作者单位】：浙江中医药大学听力与言语科学系;
【基金】：浙江省新苗人才计划项目(2015R410023) 教育部人文社科青年基金项目(16YJCZH121)联合资助
【分类号】：R767.92

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