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吸烟对嗓音声学参数的影响:单独因素及多因素相关性。

Influence of smoking isolated and associated to multifactorial aspects in vocal acoustic parameters.

机构信息

Hospital Vera Cruz, CampinasSP, Brasil, Hospital Vera Cruz, Campinas, SP, Brasil.

Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Oftalmologia e Otorrinolaringologia, CampinasSP, Brasil, Departamento de Oftalmologia e Otorrinolaringologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil.

出版信息

Braz J Otorhinolaryngol. 2014 Jan-Feb;80(1):60-7. doi: 10.5935/1808-8694.20140013.

Abstract

INTRODUCTION

Smoking affect voice quality in a long period of time, but other factors may compromise it, such as professional using of voice, habits, alcohol dependence and GERD. The aim was associate the influence of these factors on vocal parameters.

STUDY DESIGN

Contemporary cohort study with cross-sectional.

MATERIALS AND METHODS

Eighty adults of 35 to 60 years old had participated in this study, they had been divided into two groups, smokers (GF) and control (GC). There was application of questionnaire and voices were recorded. Praat software has been used for voice assessment and Man-Whitney, chi-square and logistic regression has been used for statistical analysis.

RESULTS

The GF had a higher incidence of alcohol dependence, coughing, throat clearing and professional voice using. Respecting to the acoustic parameters: noise-to-harmonic ratio (NHR), jitter and shimmer, the GF presented higher values. Relating these data to the questionnaire, it's noticed that female gender have influence over all acoustic parameters, GERD have influence over jitter and smoking can affect fundamental frequency, jitter, shimmer and NHR.

CONCLUSION

Smoking interferes in acoustics parameters isolated and associated with alcohol dependence, GERD, cough, throat clearing, gender and professional using of voice.

摘要

引言

吸烟会长期影响嗓音质量,但其他因素也可能影响嗓音质量,例如职业用嗓、生活习惯、酒精依赖和胃食管反流病(GERD)等。本研究旨在探讨这些因素对嗓音参数的影响。

研究设计

本研究为当代队列研究的横断面研究。

材料和方法

共 80 名年龄在 35 岁至 60 岁之间的成年人参与了这项研究,他们被分为两组:吸烟者(GF)和对照组(GC)。应用问卷调查,同时记录嗓音。使用 Praat 软件进行嗓音评估,并使用曼-惠特尼检验、卡方检验和逻辑回归进行统计分析。

结果

GF 组更易出现酒精依赖、咳嗽、清嗓和职业用嗓。在声学参数方面:噪声与谐波比(NHR)、抖动和颤动,GF 组的数值更高。将这些数据与问卷相关联,结果表明女性性别对所有声学参数均有影响,GERD 对抖动有影响,而吸烟可能会影响基频、抖动、颤动和 NHR。

结论

吸烟会干扰孤立和相关的声学参数,这些参数与酒精依赖、GERD、咳嗽、清嗓、性别和职业用嗓有关。

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