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变应性鼻炎患者与对照者的声学和频闪喉镜检查结果及嗓音障碍指数比较。

Comparison of Acoustic and Stroboscopic Findings and Voice Handicap Index between Allergic Rhinitis Patients and Controls.

机构信息

Department of Otorhinolaryngology, Başkent University Faculty of Medicine, Ankara, Turkey.

Department of Otorhinolaryngology, Pendik Hospital, İstanbul, Turkey.

出版信息

Balkan Med J. 2014 Dec;31(4):340-4. doi: 10.5152/balkanmedj.2014.14511. Epub 2014 Dec 1.

DOI:10.5152/balkanmedj.2014.14511
PMID:25667789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4318406/
Abstract

BACKGROUND

In our experience Allergic Rhinitis (AR) patients suffer from voice problems more than health subjects.

AIMS

To investigate the acoustic analysis of voice, stroscopic findings of larynx and Voice Handicap Index scores in allergic rhinitis patients compared with healthy controls.

STUDY DESIGN

Case-control study.

METHODS

Thirty adult patients diagnosed with perennial allergic rhinitis were compared with 30 age- and sex-matched healthy controls without allergy. All assessments were performed in the speech physiology laboratory and the testing sequence was as follows: 1. Voice Handicap Index (VHI) questionnaire, 2. Laryngovideostroboscopy, 3. Acoustic analyses.

RESULTS

No difference was observed between the allergic rhinitis and control groups regarding mean Maximum Phonation Time (MPT) values, Fo values, and stroboscopic assessment (p>0.05). On the other hand, mean VHI score (p=0.001) and s/z ratio (p=0.011) were significantly higher in the allergic rhinitis group than in controls.

CONCLUSION

Our findings suggest that the presence of allergies could have effects on laryngeal dysfunction and voice-related quality of life.

摘要

背景

根据我们的经验,过敏性鼻炎 (AR) 患者比健康受试者更容易出现声音问题。

目的

研究变应性鼻炎患者与健康对照组相比,在嗓音声学分析、喉镜检查结果和嗓音障碍指数评分方面的差异。

研究设计

病例对照研究。

方法

将 30 例成年常年性变应性鼻炎患者与 30 例年龄和性别匹配的无过敏史健康对照组进行比较。所有评估均在语音生理学实验室进行,测试顺序如下:1. 嗓音障碍指数 (VHI) 问卷,2. 喉频闪喉镜检查,3. 声学分析。

结果

过敏性鼻炎组和对照组之间的最大发音时间(MPT)平均值、Fo 值和频闪喉镜评估无差异(p>0.05)。另一方面,过敏性鼻炎组的平均 VHI 评分(p=0.001)和 s/z 比值(p=0.011)明显高于对照组。

结论

我们的发现表明过敏的存在可能对喉部功能障碍和与声音相关的生活质量产生影响。

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本文引用的文献

1
Symptom score for allergic rhinitis.变应性鼻炎症状评分。
Otolaryngol Head Neck Surg. 2013 Apr;148(4):557-63. doi: 10.1177/0194599813477605. Epub 2013 Feb 21.
2
Comparative analysis of allergic rhinitis in children and adults.儿童与成人变应性鼻炎的对比分析。
Curr Allergy Asthma Rep. 2013 Apr;13(2):142-51. doi: 10.1007/s11882-012-0331-y.
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Relationship between nasal valve changes and nasalance of the voice.鼻腔阀变化与嗓音鼻化率的关系。
Otolaryngol Head Neck Surg. 2012 Jul;147(1):98-101. doi: 10.1177/0194599812438846. Epub 2012 Feb 21.
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Correlation between female sex and allergy was significant in patients presenting with dysphonia.女性性别与过敏之间存在显著相关性,这在出现声音障碍的患者中表现明显。
Acta Otorhinolaryngol Ital. 2011 Jun;31(3):161-6.
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Ann Otol Rhinol Laryngol. 2011 Aug;120(8):505-10. doi: 10.1177/000348941112000803.
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Vocal allergy: recent advances in understanding the role of allergy in dysphonia.嗓音过敏:理解过敏在发声障碍中作用的最新进展
Curr Opin Otolaryngol Head Neck Surg. 2010 Jun;18(3):176-81. doi: 10.1097/MOO.0b013e32833952af.
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Is dysphonia due to allergic laryngitis being misdiagnosed as laryngopharyngeal reflux?因过敏性喉炎引起的发音障碍会被误诊为喉咽反流吗?
Logoped Phoniatr Vocol. 2010 Apr;35(1):1-5. doi: 10.1080/14015430903002262.
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[Reliability and validity of the Turkish version of the Voice Handicap Index].《嗓音障碍指数土耳其语版的信度与效度》
Kulak Burun Bogaz Ihtis Derg. 2008 May-Jun;18(3):139-47.
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Baseline laryngeal effects among individuals with dust mite allergy.
Otolaryngol Head Neck Surg. 2008 Jul;139(1):149-51. doi: 10.1016/j.otohns.2008.04.001.
10
Creation and validation of the Singing Voice Handicap Index.歌唱嗓音障碍指数的创建与验证。
Ann Otol Rhinol Laryngol. 2007 Jun;116(6):402-6. doi: 10.1177/000348940711600602.