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[原发性声音震颤的嗓音变化及声学特征]

[Voice change and acoustic character of essential voice tremor].

作者信息

Wang Liping, Dong Jing, Chen Xiaoqiu, Wang Tie

机构信息

Department of Otolaryngology, the Second Affiliated Hospital, China Medical University, Shenyang, 110004, China.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2006 Sep;20(18):817-9.

Abstract

OBJECTIVE

To discuss the voice change and acoustic character of essential voice tremor.

METHOD

Observations and acoustic studies were performed about clinical manifestations and voice of 18 patients with essential voice tremor.

RESULT

In 18 patients with essential voice tremor, female accounts for 72% (13/18 cases). The mean age at tremor onset was 57 years old . And 8900 of them had no neurologic abnormalities. The clinical manifestation includes voice tremor, dysphonia, even frequent voice interruption. The laryngeal body happens to regular tremor in automatically. Bilateral vocal cords, ventricular cords and arytenoid cartilages also tremble regularly open and closed, together with the tremor of voice-producing organs(soft palate, tongue and lateral pharyngeal wall). The frequency of voice tremor is 4-6 Hz. The acoustic analysis characteristics of voice is the obvious increasing of Shimmer, presenting the specific change of the parameters such as soft phonation index (SPI), degree of voiceless (DUV), degree of voice breaks (DVB), FO tremor intensity index (FTRI) and Amplitude Tremor Intensity Index (ATRI).

CONCLUSION

The voice change of essential voice tremor is a kind of regular tremor with low frequency. For the severe patients, it shows dysphonia and frequent voice interruption.

摘要

目的

探讨特发性嗓音震颤的嗓音变化及声学特征。

方法

对18例特发性嗓音震颤患者的临床表现及嗓音进行观察和声学研究。

结果

18例特发性嗓音震颤患者中,女性占72%(13/18例)。震颤开始的平均年龄为57岁。其中8900例无神经学异常。临床表现包括嗓音震颤、发声困难,甚至频繁的嗓音中断。喉体不由自主地发生规律性震颤。双侧声带、室带和杓状软骨也有规律地开合震颤,同时发声器官(软腭、舌和咽侧壁)也有震颤。嗓音震颤频率为4 - 6Hz。嗓音的声学分析特征为谐波音明显增加,呈现出软起音指数(SPI)、无声程度(DUV)、嗓音破裂程度(DVB)、基频震颤强度指数(FTRI)和振幅震颤强度指数(ATRI)等参数的特异性变化。

结论

特发性嗓音震颤的嗓音变化是一种低频规律性震颤。对于重症患者,表现为发声困难和频繁的嗓音中断。

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