悬雍垂腭咽成形术对OSAHS患者语音的影响

发布时间：2018-11-25 19:10

【摘要】：目的探讨悬雍垂腭咽成形术(UPPP)对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者发声功能和口鼻共鸣功能的影响。方法对30例确诊为OSAHS的成年男性患者行UPPP手术,分别在术前、术后1周及术后3月时通过多维嗓音分析软件、线性预测谱、鼻流计检测等方法,客观评估其发声功能和口鼻共鸣功能。结果术前、术后1周及术后3月患者的嗓音基频(F0)、频率微扰(jitter)、振幅微扰(shimmer)、谐噪比(NHR)差异无统计学意义(P0.05);术后1周时元音/a/、/i/、/u/的F1、F2与术前差异无统计学意义(P0.05);术后3月时元音/i/的F1、F2及元音/u/的F1与术前差异仍无统计学意义(P0.05),但元音/a/的F1、F2及元音/u/的F2较术前升高,差异有统计学意义(P0.05);术后1周时非鼻音句、口鼻音句、鼻音句的鼻音率与术前差异无统计学意义(P0.05);术后3月时非鼻音句、口鼻音句的鼻音率较术前差异仍无统计学意义(P0.05),但鼻音句的鼻音率较术前略有升高,差异有统计学意义(P0.05)。结论 UPPP手术对OSAHS患者的发声功能无明显影响,但对口鼻共鸣功能有轻微影响;对职业用嗓者行UPPP手术需慎重。
[Abstract]:Objective to investigate the effects of uvulopalatopharyngoplasty (UPPP) on vocal function and oral and nasal resonance in patients with obstructive sleep apnea hypopnea syndrome (OSAHS). Methods UPPP was performed on 30 adult male patients diagnosed as OSAHS. The data were analyzed by multi-dimensional voice analysis software, linear predictive spectrum and nasal flow meter before operation, 1 week after operation and 3 months after operation. Objective evaluation of vocal function and oral and nasal resonance function. Results there was no significant difference in fundamental voice frequency (F0), frequency perturbation (jitter), amplitude, (shimmer), harmonic noise ratio (NHR) between patients before operation, 1 week after operation and 3 months after operation (P0.05). At 1 week after operation, there was no significant difference between the vowel / a / r / I / F _ 1 / F _ 2 and preoperative (P 0.05). There was no significant difference in F _ 1 F _ 2 and F _ 1 / u / F _ 1 between the vowel / I / F _ 2 and vowel / u / vowels 3 months after operation (P0.05), but the vowel / a / F _ 1 F _ 2 and vowel / u / F _ 2 were higher than those before operation. The difference was statistically significant (P0.05). At 1 week after operation, there was no significant difference in nasal rate of non-nasal sentence, oral nasal sentence and nasal sentence between before and after operation (P0.05). At 3 months after operation, the nasal rate of non-nasal sentence and oral nasal sentence had no statistical significance (P0.05), but the nasal sound rate of nasal sentence was slightly higher than that of preoperative (P0.05). Conclusion UPPP operation has no significant effect on the vocal function of OSAHS patients, but has a slight effect on the oral and nasal resonance function, and UPPP surgery for professional voice patients should be careful.
【作者单位】：天津市第三中心医院耳鼻咽喉头颈外科天津市人工细胞重点实验室;天津医科大学第二医院耳鼻咽喉头颈外科;
【分类号】：R766

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