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药物诱导睡眠内镜检查确定不同来源鼾声的声学分析

Acoustic analysis of snoring sounds originating from different sources determined by drug-induced sleep endoscopy.

作者信息

Peng Hao, Xu Huijie, Xu Zhiyong, Huang Weining, Jia Ruifang, Yu Hui, Zhao Zhao, Wang Jiajun, Gao Zhan, Zhang Qiuying, Huang Weihong

机构信息

a Department of Otolaryngology , Beijing Hospital, National Center of Gerontology , Beijing , People's Republic of China.

b School of Electronic and Optical Engineering , Nanjing University of Science and Technology , Nanjing , People's Republic of China.

出版信息

Acta Otolaryngol. 2017 Aug;137(8):872-876. doi: 10.1080/00016489.2017.1293291. Epub 2017 Mar 16.

Abstract

OBJECTIVE

To discuss the possibility of fundamental frequency (F0) and formant frequency (FF) to generally differentiate the sources of snoring sounds determined by drug-induced sleep endoscopy (DISE).

METHODS

A total of 74 snoring subjects underwent DISE and snoring sounds were recorded simultaneously. The noise-suppressed snoring sounds were analyzed and classified into different groups based on the sources of vibration identified by DISE. F0 and FFs were calculated.

RESULTS

Totally, 516 snoring sounds from three vibrating sources (the palate, combined the palate and the lateral wall, the lateral wall) of 47 patients were divided into three groups then analyzed. The levels of F0 and FFs for each group follow the order: Group 1 < Group 2 < Group 3. There was statistical difference between Group 1 and other groups in F0 and F2 (p < .05). The area under the receiver-operator curves (AUC) was F0, at 0.727, and the cut-off value was 134.2 Hz; and F2, at 0.654, and the cut-off value was 2028.0 Hz.

CONCLUSIONS

F0 and the second formant frequency (F2) are found to be significantly lower in palatal snoring sound. F0 might be a significant in distinguishing palatal snoring sound from non-palatal snoring sound. F2 is more significant than F1 and F3 in identifying the sources of the snoring sounds but is less sensitive than F0.

摘要

目的

探讨基频(F0)和共振峰频率(FF)用于大体区分药物诱导睡眠内镜检查(DISE)所确定的打鼾声源的可能性。

方法

共有74名打鼾受试者接受了DISE检查,并同时记录了打鼾声音。对降噪后的打鼾声音进行分析,并根据DISE所确定的振动源将其分为不同组。计算F0和FF。

结果

总共将47例患者来自三个振动源(软腭、软腭与侧壁联合、侧壁)的516个打鼾声音分为三组,然后进行分析。每组的F0和FF水平遵循以下顺序:第1组<第2组<第3组。第1组与其他组在F0和F2方面存在统计学差异(p<0.05)。受试者工作特征曲线(AUC)下面积,F0为0.727,截断值为134.2Hz;F2为0.654,截断值为2028.0Hz。

结论

发现软腭打鼾声音中的F0和第二共振峰频率(F2)显著更低。F0在区分软腭打鼾声音与非软腭打鼾声音方面可能具有重要意义。F2在识别打鼾声音来源方面比F1和F3更具显著性,但比F0敏感性更低。

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