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重新审视/s/、/z/和/α/的持续发音时间。

Revisiting Sustained Phonation Time of /s/, /z/, and /α/.

机构信息

Emory Voice Center, Department of Otolaryngology, Head and Neck Surgery Emory University, Atlanta, Georgia.

出版信息

J Voice. 2021 Nov;35(6):935.e13-935.e18. doi: 10.1016/j.jvoice.2020.03.012. Epub 2020 Apr 26.

Abstract

PURPOSE

Research studies of maximum phonation time, have questioned its validity and value as a tool to assess laryngeal competence. This study proposes a fresh look at phonation time, from a different perspective. The interrelationships of the durations between semiocclusion vs. open vocal tract (/s/-/z/ vs. /α/) and voiced vs voiceless (/z/-/α/ vs. /s/) sound are examined to determine whether this approach might provide additional clinical insight into the respiratory phonatory efficiency of patients.

METHODS

Comfortable sustained phonation time of /s/, /z/ and /α/ was collected as part of the voice evaluation of patients referred by laryngologists for voice therapy. Inclusionary criteria: male and female subjects 19 years of age or older. Exclusionary criteria: autoimmune disorders, malignancies, major pulmonary/respiratory disorders.

RESULTS

A total of 218 patients (150 females and 68 males) mean age of 53.6 met all the criteria. Means, standard deviations and t test were conducted to determine whether significant differences existed. t test results indicate significance between s/z P = 0.002 and z/α P = 0.004 for females but only slight significance in s/α P = 0.03 for males. Close analysis of individual results observed four (4) different conditions or effects of fricative/semiocclusion and voicing: the close durations of the /s/ and /z/ relative to the /α/; the /z/ and /α/ are close in duration relative to the /s/; the spread of more than 5 seconds between /s/, /z/ and /α/ relative to the others; and similar duration of /s/, /z/, and /α/.

CONCLUSION

Significant differences exist in the durations of comfortable phonation time of sustained /s/ and /z/ and /α/ thought to be related to effects of semiocclusion, fricative consonants, and voicing. Phonation time should be seen not only in terms of duration, but the interplay of the phonemic qualities of the sounds as they relate of laryngeal efficiency.

摘要

目的

研究最大发音时间的研究对评估喉功能的有效性和价值提出了质疑。本研究从不同角度对发音时间进行了新的研究。检查半闭塞与开放声道(/s/-/z/与/α/)和浊音与清音(/z/-/α/与/s/)之间的持续时间之间的相互关系,以确定这种方法是否可以为患者的呼吸发音效率提供额外的临床见解。

方法

舒适的/s/、/z/和/α/的持续发音时间作为喉镜转介进行语音治疗的患者的语音评估的一部分进行收集。纳入标准:年龄在 19 岁或以上的男性和女性受试者。排除标准:自身免疫性疾病、恶性肿瘤、严重的肺部/呼吸疾病。

结果

共有 218 名患者(150 名女性和 68 名男性),平均年龄为 53.6 岁,符合所有标准。进行均值、标准差和 t 检验以确定是否存在显著差异。t 检验结果表明,女性的 s/z 之间存在显著差异(P=0.002),z/α 之间存在显著差异(P=0.004),而男性的 s/α 之间仅存在轻微差异(P=0.03)。对个体结果的仔细分析观察到摩擦音/半闭塞和发声的四种(4)不同条件或影响:/s/和/z/与/α/的接近持续时间;/z/和/α/与/s/的接近持续时间;/s/、/z/和/α/之间的间隔超过 5 秒;以及/s/、/z/和/α/的相似持续时间。

结论

舒适的/s/和/z/和/α/的持续发音时间存在显著差异,这被认为与半闭塞、摩擦辅音和发声的影响有关。发音时间不仅应从持续时间来看,还应从音位质量的相互作用来看,因为它们与喉效率有关。

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