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痉挛性发音障碍和声带麻痹:嗓音问题对工作相关功能的影响。

Spasmodic dysphonia and vocal fold paralysis: outcomes of voice problems on work-related functioning.

作者信息

Smith E, Taylor M, Mendoza M, Barkmeier J, Lemke J, Hoffman H

机构信息

Department of Preventive Medicine, College of Medicine, University of Iowa, Iowa City, USA.

出版信息

J Voice. 1998 Jun;12(2):223-32. doi: 10.1016/s0892-1997(98)80042-8.

Abstract

Patients at a university voice disorder clinic diagnosed with spasmodic dysphonia (SD, n = 68) or vocal fold paralysis (VFP, n = 57) reported vocal symptoms and adverse work outcomes in contrast to a nondisordered group (ND, n = 68). Patients with SD most frequently cited symptoms of effortfulness (57%) and weakness (54%), VFP cited hoarseness (70%) and weakness (60%), while the nondisordered reported hoarseness (28%). SD and VFP produced greater (p< .05) adverse work outcomes than the nondisordered in the past (SD: 65%, VFP: 41%, ND: 3%), potential future (SD: 78%, VFP: 65%, ND: 19%), and current job performance (SD: 64%, VFP: 46%, ND: 2%). These disorders significantly disrupt socioeconomic outcomes and research is needed to improve functional ability and quality of life.

摘要

一所大学嗓音障碍诊所的患者被诊断为痉挛性发声障碍(SD,n = 68)或声带麻痹(VFP,n = 57),与非障碍组(ND,n = 68)相比,他们报告了嗓音症状和不良工作结果。SD患者最常提到费力感(57%)和嗓音虚弱(54%)症状,VFP患者提到声音嘶哑(70%)和嗓音虚弱(60%),而非障碍组报告声音嘶哑的比例为(28%)。在过去(SD:65%,VFP:41%,ND:3%)、潜在未来(SD:78%,VFP:65%,ND:19%)以及当前工作表现方面(SD:64%,VFP:46%,ND:2%),SD和VFP产生的不良工作结果比非障碍组更严重(p <.05)。这些疾病显著扰乱社会经济结果,需要开展研究以提高功能能力和生活质量。

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