上气道多平面扩容术对重度阻塞性睡眠呼吸暂停低通气综合征患者嗓音的影响

发布时间：2019-06-20 23:07

【摘要】：目的:探讨上气道多平面扩容术对重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者嗓音的影响。方法:对26例重度OSAHS患者于上气道多平面扩容术前后,分别应用针对嗓音相关的主观调查问卷和嗓音频谱分析软件进行客观统计学分析。结果:主观调查问卷结果显示,26例患者上气道多平面扩容术后4例(15.4%)出现短时间的轻度腭咽闭合功能不全所致的鼻腔反流现象,均于术后1周内消失;3例(11.5%)术后发声有轻度鼻音增高,尤以术后1周内较明显而后逐渐消失;2例(7.7%)扁桃体Ⅲ度肥大者诉发声清晰度较前提高,原有轻微含糖音消失;总体评价是嗓音障碍指数量表、嗓音相关生活质量量表评分手术前后均无明显变化(P0.05)。嗓音客观参数基频F0和F1、F2、F3及F4共振峰频率手术前后均无统计学差异。结论:上气道多平面扩容术能够解除重度OSAHS患者上气道的阻塞性因素,同时进行鼻腔和咽腔的塑形,在一定程度上改变了声道共鸣腔,但对重度OSAHS患者嗓音的主观心理听觉评估无明显变化,嗓音客观参数基频F0和F1、F2、F3及F4四个共振峰频率均无明显的变化。
[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.
【作者单位】：贵州省人民医院耳鼻咽喉-头颈外科;
【基金】：2011年贵州省科学技术基金项目(黔科合J[2011]2253)
【分类号】：R766

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