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反流的声音:关于反流患者声学语音分析的系统评价

The voice of reflux: A systematic review about acoustic voice analysis in reflux patients.

作者信息

Moser Nina, Borbély Yves

机构信息

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

出版信息

iScience. 2025 Sep 1;28(10):113468. doi: 10.1016/j.isci.2025.113468. eCollection 2025 Oct 17.

DOI:10.1016/j.isci.2025.113468
PMID:41019371
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12475574/
Abstract

We summarize the current literature on acoustic voice analysis in gastroesophageal (GERD) and laryngopharyngeal (LPRD) reflux disease. Literature search on Pubmed and Cochrane Library between 04/-18/12/2023; all study types, keywords "reflux"/"voice"/"analysis", publication dates between 01/01/2000 and 18/12/2023, only publications dealing with acoustic voice analysis in reflux patients. = 33 clinical trials found and analyzed. = 27/33 publications confirm reproducible changes in acoustic voice analyses of reflux patients. Most studies worked with recording of vowel /a/ and used the software Kay Elemetrics MDVP. Most frequently analyzed parameters were fundamental frequency, percent/jitter, percent/shimmer. Results were quite inhomogeneous, not least due to the inconsistent study settings (analysis techniques and software), as well as mainly small, monocentric study designs. But acoustic voice analysis has potential; apart from LPRD patients, general GERD patients have hardly been analyzed and new possibilities are expected with technical advances.

摘要

我们总结了目前关于胃食管反流病(GERD)和喉咽反流病(LPRD)中声学嗓音分析的文献。于2023年12月18日在PubMed和Cochrane图书馆进行文献检索;涵盖所有研究类型,关键词为“反流”/“嗓音”/“分析”,发表日期在2000年1月1日至2023年12月18日之间,仅纳入涉及反流患者声学嗓音分析的出版物。共找到并分析了33项临床试验。33篇出版物中有27篇证实了反流患者声学嗓音分析中存在可重复的变化。大多数研究采用元音/a/的录音,并使用Kay Elemetrics MDVP软件。最常分析的参数是基频、抖动百分比、闪烁百分比。结果相当不一致,这主要是由于研究设置(分析技术和软件)不一致,以及主要是小型的单中心研究设计。但声学嗓音分析具有潜力;除了LPRD患者外,一般GERD患者几乎未被分析,随着技术进步有望出现新的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31b6/12475574/6dc16697b5f9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31b6/12475574/f724b2857f12/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31b6/12475574/4f714b746478/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31b6/12475574/6dc16697b5f9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31b6/12475574/f724b2857f12/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31b6/12475574/4f714b746478/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31b6/12475574/6dc16697b5f9/gr2.jpg

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本文引用的文献

1
Updates to the modern diagnosis of GERD: Lyon consensus 2.0.胃食管反流病现代诊断的更新:里昂共识 2.0。
Gut. 2024 Jan 5;73(2):361-371. doi: 10.1136/gutjnl-2023-330616.
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To Compare and Evaluate Laryngeal Changes in Patients with Dysphonia in Laryngopharyngeal Reflux (LPR) before and after Treatment with Proton Pump Inhibitors (PPI) and Prokinetic Drugs.
比较和评估质子泵抑制剂(PPI)和促动力药物治疗前后喉咽反流(LPR)所致发声障碍患者的喉部变化。
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Barrett Esophagus: A Review.巴雷特食管:综述。
JAMA. 2022 Aug 16;328(7):663-671. doi: 10.1001/jama.2022.13298.
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The Effects of Hard Voice Onset on Objective Voice Function in Patients With Laryngopharyngeal Reflux.硬起音对喉咽反流患者客观嗓音功能的影响。
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Acoustic measurements are useful therapeutic indicators of patients with dysphonia-related to reflux.声学测量对于反流相关发音障碍患者是一种有用的治疗指标。
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ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease.美国胃肠病学会胃食管反流病诊断和管理临床指南
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Voice for Health: The Use of Vocal Biomarkers from Research to Clinical Practice.健康之声:从研究到临床实践的嗓音生物标志物应用
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PLoS One. 2020 Apr 16;15(4):e0231441. doi: 10.1371/journal.pone.0231441. eCollection 2020.