Smith E, Taylor M, Mendoza M, Barkmeier J, Lemke J, Hoffman H
Department of Preventive Medicine, College of Medicine, University of Iowa, Iowa City, USA.
J Voice. 1998 Jun;12(2):223-32. doi: 10.1016/s0892-1997(98)80042-8.
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.
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。
