儿科声音障碍指数和声学分析在儿科良性声音障碍的应用和比较
概括
儿科语音障碍严重影响儿童,在儿科语音障碍指数 (pVHI) 上得分更高,声学参数发生变化. 使用主观 (pVHI) 和客观 (声学分析) 方法进行全面的语音评估对于准确的诊断至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 儿科医学 儿科医学
背景情况:
- 儿科语音评估方法有局限性,很少有研究比较声障碍儿童的主观和客观评估.
- 需要了解患者报告的语音障碍与儿科患者的客观声学测量之间的关系.
研究的目的:
- 应用和比较儿科语音障碍指数 (pVHI) 与诊断患有良性语音障碍的儿童的声学分析.
- 评估儿科患者的主观语音障碍测量和客观声学参数之间的相关性.
主要方法:
- 一项涉及338名儿科参与者的病例控制研究 (160名有语音障碍,178名对照) 从2021年8月到2023年4月.
- 数据收集包括儿科语音障碍指数 (pVHI) 问卷和声学分析 (基本频率,动,闪,HNR,s/z比率,最大发音时间).
- 用皮尔森相关系数来分析pVHI得分与声学参数之间的关系.
主要成果:
- 与对照组相比,患有语音障碍的儿童的pVHI总和分级得分显著更高 (P < .05).
- 观察到基本频率,动,闪,和噪声比率 (HNR),s/z比率和最大发声时间 (P < .05) 之间的显著差异.
- 在pVHI总和分级分数 (物理维度和总分数之间的最高值,r = 0.882) 中发现了中等到强的相关性,但在声学参数之间或声学参数和pVHI分数之间没有相关性.
结论:
- 患有语音障碍的儿科患者经历了更严重的语音障碍,反映在pVHI分数和声学参数上.
- 虽然pVHI表现出强烈的内部一致性,但声学参数和pVHI得分没有很强的相关性,这表明它们测量了语音功能的不同方面.
- 综合主观 (pVHI) 和客观 (声学分析) 方法的综合评估对于准确的临床评估和预防儿科语音障碍的诊断偏差至关重要.
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