Schuster Maria, Lohscheller Jörg, Hoppe Ulrich, Kummer Peter, Eysholdt Ulrich, Rosanowski Frank
Department of Phoniatrics and Pedaudiology, University Hospital Erlangen, Erlangen, Germany.
Folia Phoniatr Logop. 2004 Jan-Feb;56(1):62-7. doi: 10.1159/000075329.
The evaluation of diagnostics and therapies includes more and more subjective, i.e. emotional and social aspects. Focussing on the handicap experienced by dysphonic patients, the Voice Handicap Index (VHI) has previously been found to be of significant clinical and scientific value for different voices. In this study the VHI questionnaire was applied to demonstrate the voice handicap of 20 male laryngectomees using tracheoesophageal voice (Provox), aged 65.5 +/- 8.7 years. Their VHI was 45.5 +/- 24.1, which was significantly higher than the score of patients with functional voice disorders, but differed only slightly from patients with organic laryngeal dysphonia. Focussing on individual data, VHI scores ranged from values similar to persons without voice disorder to maximum handicap of 101. Comparing the VHI scores with the laryngectomees' gradual self-perception of voice disorder severity, no consistent relationship was found. Considering the large interindividual differences, the VHI may serve as a valuable instrument for the assessment of individual interventional needs rather than for the identification of a general laryngectomees' handicap.
诊断和治疗的评估越来越多地包括主观因素，即情感和社会方面。聚焦于发声障碍患者所经历的功能障碍，嗓音障碍指数（VHI）此前已被发现对不同嗓音具有重要的临床和科学价值。在本研究中，VHI问卷被用于评估20名年龄为65.5±8.7岁、采用食管气管发音（Provox）的男性喉切除患者的嗓音障碍情况。他们的VHI为45.5±24.1，显著高于功能性嗓音障碍患者的得分，但与器质性喉发声障碍患者的得分仅略有差异。关注个体数据，VHI得分范围从与无嗓音障碍者相似的值到最大障碍值101。将VHI得分与喉切除患者对嗓音障碍严重程度的逐步自我认知进行比较，未发现一致的关系。考虑到个体间的巨大差异，VHI可能是评估个体干预需求的有价值工具，而非用于识别喉切除患者的一般功能障碍。
