Liang Fa-Ya, Yang Jin-Shan, Mei Xiang-Sheng, Cai Qian, Guan Zhong, Zhang Bi-Ru, Wang Ya-Jing, Gong Jian, Huang Xiao-Ming, Peng Jie-Ren, Zheng Yi-Qing
Department of Otorhinolaryngology-Head and Neck Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Department of Otorhinolaryngology, The First Affiliated Hospital of Henan University of Traditional Chinese Medicines, Zhengzhou, People's Republic of China.
J Voice. 2014 May;28(3):393.e7-10. doi: 10.1016/j.jvoice.2013.11.010. Epub 2014 Feb 1.
To investigate the changes of vocal aerodynamics indicators after voice training in female patients with muscular tension dysphonia (MTD).
Twenty-one female MTD patients (before voice training and 12 weeks after voice training) and 20 female volunteers with normal voices (the control group) received vocal aerodynamic analysis. Parameters included subglottal pressure (SGP), aerodynamic power (AP), mean expiratory airflow (MEA), and maximum phonation time (MPT) were recorded and analyzed by phonatory aerodynamic system.
Before voice training, the median SGP and mean AP were higher than control group, whereas median MPT was shorter, and these differences were statistically significant. After 12 weeks of voice training, the median SGP and mean AP were decreased and the median MPT was increased compared with the measurements obtained before training, and these differences were statistically significant. The differences of median SGP, mean AP, mean MEA, and median MPT between MTD after 12 weeks of training and control group were not statistically significant.
Voice training is an effective treatment for MTD patients. Aerodynamic analysis can effectively evaluate the vocal functional status of MTD patients before and after training, which is beneficial for the treatment efficacy evaluation.
探讨女性肌肉紧张性发声障碍(MTD)患者嗓音训练后嗓音空气动力学指标的变化。
21例女性MTD患者(嗓音训练前及训练12周后)和20名嗓音正常的女性志愿者(对照组)接受嗓音空气动力学分析。通过发声空气动力学系统记录并分析包括声门下压力(SGP)、空气动力功率(AP)、平均呼气气流(MEA)和最长发声时间(MPT)在内的参数。
嗓音训练前,MTD组SGP中位数和AP平均值高于对照组,而MPT中位数较短,且这些差异具有统计学意义。嗓音训练12周后,与训练前测量值相比,MTD组SGP中位数和AP平均值降低,MPT中位数增加,且这些差异具有统计学意义。训练12周后的MTD组与对照组之间SGP中位数、AP平均值、MEA平均值和MPT中位数的差异无统计学意义。
嗓音训练是治疗MTD患者的有效方法。空气动力学分析可有效评估MTD患者训练前后的嗓音功能状态,有助于治疗效果评估。