Byeon Haewon
Department of Speech Language Pathology & Audiology, Nambu University, Gwangju, Republic of Korea
Ann Otol Rhinol Laryngol. 2015 Oct;124(10):770-6. doi: 10.1177/0003489415583684. Epub 2015 Apr 23.
This study investigated the prevalence of perceived dysphonia and its correlation with the prevalence of clinically diagnosed laryngeal disorders.
Subjects were 8713 non-institutionalized civilian adults over the age of 19 (3810 men and 4912 women) who completed the laryngeal examination of the fifth Korea National Health and Nutrition Examination Survey. A Poisson regression was used to examine the association between perceived dysphonia and laryngeal disorders.
Adjusting for covariates (age, sex, education level, income, occupation, alcohol drinking, and self-reported health status), those with perceived voice problems were 4.8 times (OR=4.75, 95% CI, 3.77-5.99) more likely to have laryngeal disorders than those without voice problems. In particular, the vocal fold pathology correlated with perceived dysphonia was: vocal fold nodules (OR=5.32, 95% CI, 3.43-8.26), vocal polyps (OR=3.73, 95% CI, 1.57-8.86), vocal cysts (OR=11.97, 95% CI, 1.97-72.72), Reinke's edema (OR=9.27, 95% CI, 4.77-18.00), laryngeal paralysis (OR=3.58, 95% CI, 1.56-8.26), laryngeal granulomas (OR=4.31, 95% CI, 1.01-18.80), epiglottic cyst (OR=2.94, 95% CI, 1.21-7.13), and laryngitis (OR=4.07, 95% CI, 2.91-5.69).
People with self-perceived dysphonia had a high risk of laryngeal disorders.
本研究调查了嗓音障碍的患病率及其与临床诊断的喉部疾病患病率的相关性。
研究对象为8713名19岁以上的非机构化成年平民（3810名男性和4912名女性），他们完成了韩国第五次全国健康与营养检查调查中的喉部检查。采用泊松回归分析来检验嗓音障碍与喉部疾病之间的关联。
在对协变量（年龄、性别、教育水平、收入、职业、饮酒情况和自我报告的健康状况）进行调整后，有嗓音问题的人患喉部疾病的可能性是没有嗓音问题的人的4.8倍（OR=4.75，95%可信区间，3.77-5.99）。特别是，与嗓音障碍相关的声带病变有：声带小结（OR=5.32，95%可信区间，3.43-8.26）、声带息肉（OR=3.73，95%可信区间，1.57-8.86）、声带囊肿（OR=11.97，95%可信区间，1.97-72.72）、任克氏水肿（OR=9.27，95%可信区间，4.77-18.00）、喉麻痹（OR=3.58，95%可信区间，1.56-8.26）、喉肉芽肿（OR=4.31，95%可信区间，1.01-18.80）、会厌囊肿（OR=2.94，95%可信区间，1.21-7.13）和喉炎（OR=4.07，95%可信区间，2.91-5.69）。
自我感觉有嗓音障碍的人患喉部疾病的风险较高。
