成年帕金森病患者的喉动态镜检查与嗓音评估
Laryngostroboscopy and voice evaluation in adult patients with Parkinson's disease.
作者信息
Castro Andréa de Carvalho Anacleto Ferrari, Dedivitis Rogério Aparecido, Queija Débora Dos Santos, Ferrari de Castro Mario Augusto, Portas Juliana Godoy, Ferreira Alessandra Sampaio
机构信息
Universidade de São Paulo (USP), Faculdade de Medicina, Hospital das Clínicas, Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
Universidade de São Paulo (USP), Faculdade de Medicina, Hospital das Clínicas, Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2025 Jul;91 Suppl 1(Suppl 1):101620. doi: 10.1016/j.bjorl.2025.101620. Epub 2025 May 27.
OBJECTIVE
To evaluate the laryngeal manifestations of PD.
METHODS
Evaluation of 18 PD patients conducted between January 2011 and December 2012. Patients were evaluated through videolaryngostroboscopy, auditory perceptual analysis of the voice using the GIRBAS scale, acoustic voice analysis, and application of the Vocal Handicap Index (VHI) questionnaire.
RESULTS
Dysphonia and vocal fatigue were referred by 72.22% and 33.3% of the patients, respectively, whereas changes during laryngoscopy were verified in 94.44%. The medians of the acoustic voice analysis and the VHI self-assessment questionnaire were unchanged. The median of the VHI emotional domain was higher among patients who presented open phase closure, with statistically significant difference (p = 0.029).
CONCLUSION
Patients with PD present laryngeal and voice changes.
LEVEL OF EVIDENCE
Level IV.
目的
评估帕金森病（PD）的喉部表现。
方法
对2011年1月至2012年12月期间的18例PD患者进行评估。通过视频喉镜频闪检查、使用GIRBAS量表对声音进行听觉感知分析、声学语音分析以及应用嗓音障碍指数（VHI）问卷对患者进行评估。
结果
分别有72.22%和33.3%的患者出现发声困难和嗓音疲劳，而94.44%的患者在喉镜检查中发现有变化。声学语音分析和VHI自我评估问卷的中位数未发生变化。在出现开放期关闭的患者中，VHI情感领域的中位数较高，差异具有统计学意义（p = 0.029）。
结论
PD患者存在喉部和嗓音变化。
证据级别
四级。
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