中度和重度阻塞性睡眠呼吸暂停对主观和客观语音结果的影响,不包括混因素
1Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands; Research School of Behavioral and Cognitive Neuroscience, University of Groningen, Groningen, The Netherlands; Department of Audiology, Faculty of Health Sciences, Ankara Yıldırım Beyazıt University, Ankara, Türkiye.
概括
严重的阻塞性睡眠呼吸暂停 (OSA) 显著影响客观语音声学,与中度OSA不同. 主观语音质量仍然不受OSA严重性的影响,突出了客观的声音变化作为潜在的并发症.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 声学分析 声学分析
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍影响睡眠和潜在的其他生理功能的疾病.
- 语音变化在OSA患者中被事报道,但OSA严重程度对语音结果的影响,控制混因素,尚未确立.
研究的目的:
- 调查中度与严重阻塞性睡眠呼吸暂停 (OSA) 对主观和客观语音参数的差异影响.
- 在分析中排除肥胖,吸烟,饮酒和喉回流等常见的混因素.
主要方法:
- 104名中度或重度OSA患者接受了多睡眠学.
- 用土耳其语音障碍指数 (Tr-VHI) 和语音相关生活质量 (Tr-V-RQOL) 来评估主观语音.
- 客观的语音分析包括基本频率 (F0),形式,动,闪,HNR和光谱参数,与呼吸暂停-呼吸暂停指数 (AHI) 相对相关.
主要成果:
- 透视视图证实,在严重的OSA组中,疾病的严重程度更大.
- 在中度和重度OSA组之间没有发现主观语音结果 (Tr-VHI,Tr-V-RQOL) 的显著差异.
- 客观的声学分析揭示了严重的OSA组的显著差异,包括增加的闪,减少的HNR和改变的形成频率;AHI与客观参数相关,但与主观得分无关.
结论:
- 与中度OSA相比,严重的OSA对客观语音声学参数具有更显著的有害影响.
- 虽然主观语音质量并没有根据OSA的严重程度进行区分,但严重OSA的客观语音变化表明临床相关性.
- 声音变化可能代表以前未被认可的并发症,与严重阻塞性睡眠呼吸暂停相关.
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