Song Xiaohong, Liu Yongxiang
Department of Otorhinolaryngology, Beijing Friendship Hospital, Capital University of Medical Science, Beijing 100050.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2003 Jun;17(6):332-5.
Set an objectively scientific foundation for name, diagnosis, therapy and assessment of mutational falsetto.
We analyzed the acoustic samples of patients by computer, 15 patients, 12 normal young men, 13 normal young women and 12 normal children were asked to produced comfortable modal vowel/a/ and /i/, sustained 3 seconds. The falsetto /a/ and /i/ were only collected from young men and women. The acoustic parameters were compared between any two groups.
Both vowel /a/ and /i/, the fundamental frequency, highest fundamental frequency and lowest fundamental frequency of patients are closed to young women's (P > 0.05). Jitter percent and pitch perturbation quotient is significantly higher than other groups (P < 0.05). Fundamental frequency variation has no significant difference between groups, but the patients mean is higher than others. Shimmer percent and peak-to-peak amplitude variation of patients' vowel /a/ are distinctly greater than other groups. Amplitude perturbation quotient of vowel /a/ has no significance between groups, but the patients' group is higher than others. Shimmer percent, peak-to-peak amplitude variation and amplitude perturbation of vowel /i/ has no significant difference between most groups, but the results of patients are the biggest. Noise to harmonic ratio of falsetto is the lowest among all groups. Voice turbulence index of the patients and falsetto is lower than that of others. Soft phonation index of patients is higher than other groups and near to falsetto, vowel /i/ is more significant than /a/. The children falsetto and the patients have voice break.
Mutational "falsetto" is not really falsetto, but rather similar to female's voice. To lower fundamental frequency and improve chest resonance is the key of treatment. Both psychotherapy and voice training are important. We can try to use rigid phonation to treat patients.
为变声性假声的命名、诊断、治疗及评估奠定客观科学的基础。
我们通过计算机对患者的声学样本进行分析,让15例患者、12名正常青年男性、13名正常青年女性和12名正常儿童发舒适的模态元音/a/和/i/,持续3秒。假声/a/和/i/仅从青年男性和女性中采集。比较任意两组之间的声学参数。
对于元音/a/和/i/,患者的基频、最高基频和最低基频均接近青年女性(P>0.05)。抖动百分比和音高微扰商显著高于其他组(P<0.05)。基频变化在各组之间无显著差异,但患者组的平均值高于其他组。患者元音/a/的闪烁百分比和峰峰值幅度变化明显大于其他组。元音/a/的幅度微扰商在各组之间无显著性差异,但患者组高于其他组。大多数组之间元音/i/的闪烁百分比、峰峰值幅度变化和幅度微扰无显著差异,但患者的结果最大。假声的噪声谐波比在所有组中最低。患者和假声的嗓音湍流指数低于其他人。患者的软起音指数高于其他组且接近假声,元音/i/比/a/更显著。儿童假声和患者存在声断。
变声性“假声”并非真正的假声,而是类似于女性的嗓音。降低基频并改善胸腔共鸣是治疗的关键。心理治疗和嗓音训练都很重要。我们可以尝试用硬起音来治疗患者。