病态嗓音的计算机定量评估
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Quantitative Evaluation of Voice in Laryngeal Diseases by Computer Technique
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    摘要:

    目的 观察各类喉病患者嗓音声学参数及声谱图特征,探讨计算机声学测试技术在病态嗓音定量评估中的应用价值,方法 采用计算机嗓音声学测试系统(Dr.Speech Science for Windows软件)对78例正常成人及98例喉病患者元音信号进行检测,对其主要声学参数[频率微扰、振幅微扰、声门噪声能量(normalized nois cenergy,NNE)]及声谱图特征(谐波、共振峰、噪声成分等)进行分析,并与主观听觉评价结果进行了比较。结果 98例病态嗓音均表现一项或几项声学参数值高于正常,各参数均值较正常值差别有统计学意义。声带炎症病变各参数均值约高于正常0.5~1.5倍;声带麻痹及喉癌各均值约高于正常2.0~1.5倍:病态嗓音声谱图特征为谐波及共振峰不规则、断裂甚至消失,噪声成分增加;根据嗓音损害程度可将其分为3型。结论 计算机声学分析各项参数及声谱图特征可作为嗓音定量评价的客观指标,有助于区别正常与病态嗓音、判断嗓音损害程度、初步鉴别喉部病变性质、评价治疗效果及动态观察预后等。

    Abstract:

    Objective To investigate the characteristics of acoustic parameters and spectrograph of varying laryngeal diseases and discuss the value of acoustic analysis technique by computer in the quantitative and objective evaluation of vocal function.Methods The voice signals of sustained vowel "a" were measured with a computer (Dr.Speech software) in 78 healthy adults and 98 patients with varying laryngeal diseases.The acousic parameters (jitter,shimmer and NNE) and spectrographic characteristics (harmonic waves,formants and noise) were analyzed.The resubs obtained by acoustic technique were compared with those of perceptual evaluation.Results The acoustic parameters were significantly increased in all patients with laryngeal diseases.The mean parameters were increased 0.5~1.5 times in vocal inflammation and 2.0~4.5 times in vocal paralysis or laryngeal carcinoma as much as the control group.The spectrogarph in laryngeal diseases showed irregularity,breakage or lack of harmonic waves and formants,and increase of noise.A three-point scale was used to rate the pathologic spectrograph and coincided with the degrees of hoarseness judged by perceptual analysis.Conclusion The acoustic parameters and spectrograph can be used as objective standards for evaluaing voice function quantitatively.The acoustic analysis by computer technique is of value in the diagnosis and treatment of laryngeal diseases.

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殷敏,祁沁红,乔宗海,徐洁洁.病态嗓音的计算机定量评估[J].南京医科大学学报(自然科学版),2000,20(02):

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