声音嘶哑患者电子喉镜结果分析

发布时间：2019-04-13 20:58

【摘要】：目的：1.通过对声音嘶哑(简称声嘶)患者电子喉镜结果进行分析,探讨声嘶病因在不同民族、不同性别及不同年龄段之间的分布特点及差异性；2.通过应用嗓音障碍指数(voice handicap index,VHI)对部分声嘶患者进行主观评估,探讨主观评估在喉部疾病诊断及嗓音研究中的意义；方法：对新疆医科大学第一附属医院2007年7月-2009年12月就诊的门诊及住院1226例声嘶患者的电子喉镜结果进行回顾性分析。其中汉族847例,维吾尔族285例,哈萨克族94例,将其分成不同年龄段进行比较。(联合国世界卫生组织提出的新的年龄分段)；此外,选取199例声音嘶哑患者使用VHI进行自我评估,对其分值进行分析；结果：1.声嘶病因在维吾尔族、汉族及哈萨克族间总的分布差异有统计学意义,P=0.000；维吾尔族和汉族之间分布差异有统计学意义,P=0.000；维吾尔族和哈族、汉族和哈族之间声嘶病因分布差异无统计学意义,分别为P=0.209和P=0.042(α=0.017)；2.声嘶病因在性别间的分布差异有统计学意义P=0.000；3.声嘶病因在维吾尔族、汉族及哈萨克族不同年龄段间分布有差异：在1～17岁组和45～59岁组这三民族间差异有统计学意义,分别为P=0.000和P=0.003；而在18-44岁组及60岁以上组间差异无统计学意义,分别为P=0.051和P=0.718；4.VHI在声带小结／声带息肉组间无明显差异外,不同分组间有显著差异(P0.01)。结论：1.声音嘶哑病因在维、汉、哈三民族间分布不同；喉乳头状瘤在维吾尔族多见；声带息肉在汉族多见；声带麻痹在哈萨克族多见；2.声音嘶哑病因在不同性别间分布不同；喉癌和声带白斑在男性多见,癔病性声嘶在女性多见；3.声音嘶哑病因在维、汉、哈三民族不同年龄段间分布不同；青年人为声嘶的高发人群；4.主观评估对声嘶具有诊断和嗓音评价作用。
[Abstract]:Purpose: 1. By analyzing the results of electronic laryngoscope in patients with hoarseness (hoarseness), the distribution characteristics and differences of the causes of hoarseness in different nationalities, sexes and ages were discussed. The subjective evaluation of some hoarseness patients was carried out by using the voice disorder index (voice handicap index,VHI) to explore the significance of subjective assessment in the diagnosis of laryngeal diseases and the study of voice. Methods: the results of electronic laryngoscope were retrospectively analyzed in 1226 out-patient and inpatients with hoarseness in the first affiliated Hospital of Xinjiang Medical University from July 2007 to December 2009. Among them, 847 cases of Han nationality, 285 cases of Uygur nationality and 94 cases of Kazak nationality were divided into different age groups. (new age section proposed by the United Nations World Health Organization); in addition, VHI was used for self-assessment in 199 patients with hoarseness; results: 1. There was a significant difference in total distribution between Uighur, Han and Kazak nationalities (P < 0.001), and between Uygur and Han nationalities (P < 0.001), and between Uygur and Han nationalities (P < 0.05), and between Uigur and Han nationalities (P < 0.05). There was no significant difference in the distribution of the cause of vocal hiss between Uighur and Kazakh, Han and Kazakh, respectively (P = 0. 209 and 0. 042) (伪 = 0.017). There was a significant difference in the distribution of the causes of hoarse disease between sexes (P < 0.000 / 3). There was a significant difference in the distribution of hoarse disease among Uighur, Han and Kazak groups: there was a significant difference among the three groups (P = 0.000 and P = 0.003, respectively) between the 17-year-old group and the 45-59-year-old group (P < 0.01), and there was a significant difference among the three groups (P < 0.01). There was no significant difference between 18-44-year-old group and over-60-year-old group (P < 0.01). There was no significant difference between the vocal cord nodules / vocal cord polyp group (P < 0.01), but there was no significant difference between the vocal cord nodules / vocal cord polyp group (P < 0.01). Conclusion: 1. The causes of hoarseness are different among Uygur, Han and Kazakh nationalities; laryngeal papilloma is common in Uighur; vocal polyp is common in Han nationality; vocal cord paralysis is common in Kazakh; 2. The causes of hoarseness are different in different sexes; laryngeal cancer and vocal cord leukoplakia are more common in men and hysteria hoarseness is more common in women; 3. The causes of hoarseness in Uygur, Han and Kazakh nationalities are different in different age groups; young people are the high incidence of hoarseness; 4. Subjective evaluation is useful for diagnosis and voice evaluation of hoarseness.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R767.92

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