Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.
Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania; Lankenau Institute for Medical Research, Philadelphia, Pennsylvania.
J Voice. 2022 Jul;36(4):542-553. doi: 10.1016/j.jvoice.2020.07.019. Epub 2020 Sep 25.
To clarify the relationship between voice and respiratory function, and to understand the role for airflow measures in the evaluation of voice patients.
Literature searches of MEDLINE (Ovid) and Web of Science were performed on April 6, 2020, to include articles written in English that both discussed voice in relation to lower respiratory function and reported evaluation of airflow. Search strategies included the keywords voice, respiratory, airflow, and aerodynamic measures. Data were extracted from articles that met inclusion criteria.
Twenty studies were included for review. Fourteen (70%) studies evaluated at least 1 spirometric respiratory measure, including Forced Vital Capacity, Forced Expiratory Volume in 1 second, and Forced Expiratory Flow. Other measures assessed included mean flow rate, mean peak airflow, phonatory airflow, inspiratory airflow, expiratory airflow, and phonation quotient. Notably, four studies which included pulmonary function tests (PFTs) as part of voice evaluation discovered previously undiagnosed respiratory disease in their study populations.
This review confirms that respiratory function contributes significantly to voice and reveals that few studies have explored the role for airflow measures in clarifying this relationship. Including airflow measures such as PFTs in standard voice evaluation may allow recognition of underlying respiratory disease contributing to voice dysfunction. Further research is recommended to establish indications and diagnostic criteria for the use of PFTs in voice patients.
阐明声音与呼吸功能之间的关系，并了解气流测量在评估嗓音患者中的作用。
于 2020 年 4 月 6 日在 MEDLINE（Ovid）和 Web of Science 上进行文献检索，检索对象为讨论声音与下呼吸道功能的关系并报告气流评估的英文文献。检索策略包括“声音”“呼吸”“气流”和“空气动力学测量”等关键词。从符合纳入标准的文章中提取数据。
共纳入 20 项研究进行综述。14 项（70%）研究评估了至少 1 项肺活量呼吸测量指标，包括用力肺活量、1 秒用力呼气量和用力呼气流速。评估的其他指标包括平均流量、平均峰值气流、发声气流、吸气气流、呼气气流和发声商。值得注意的是，4 项将肺功能测试（PFTs）作为嗓音评估一部分的研究在其研究人群中发现了先前未诊断出的呼吸疾病。
本综述证实呼吸功能对声音有重要贡献，并揭示了很少有研究探讨气流测量在阐明这种关系中的作用。在标准嗓音评估中纳入 PFTs 等气流测量方法可能有助于识别导致嗓音功能障碍的潜在呼吸疾病。建议进一步研究，以确定 PFTs 在嗓音患者中的使用指征和诊断标准。
