山东大学耳鼻喉眼学报 ›› 2022, Vol. 36 ›› Issue (2): 20-25.doi: 10.6040/j.issn.1673-3770.1.2020.111

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耳鼻咽喉门诊咽喉良性病变老年患者喉镜观察与嗓音声学分析

侯波,梁程程,魏东敏,雍蓉,雷大鹏,李梅   

  1. 山东大学齐鲁医院 耳鼻咽喉科/国家卫健委耳鼻咽喉科学重点实验室, 山东 济南 250012
  • 发布日期:2022-04-15
  • 通讯作者: 李梅. E-mail:maylee_ent@126.com

Laryngoscopy observation and voice acoustic analysis of elderly patients with benign laryngopharyngeal lesions in an ENT out-patient clinic

HOU Bo, LIANG Chengcheng, WEI Dongmin, YONG Rong, LEI Dapeng, LI Mei   

  1. Department of Otorhinolaryngology, Qilu Hospital of Shandong University, NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan 250012, Shandong, China
  • Published:2022-04-15

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摘要： 目的 探讨耳鼻咽喉门诊咽喉良性病变老年患者喉部形态特点及嗓音声学特征。 方法 选取就诊的101例咽喉良性病变老年患者(≥60岁,男54例,女47例)为研究对象,行电子鼻咽喉镜检查、动态喉镜检查、咽喉反流症状指数评分(RSI评分)、反流体征评分(RFS评分)、嗓音声学分析检测,并对结果进行分析。 结果 以声嘶为主诉就诊的老年患者男性明显高于女性(男性占53.7%,女性占29.8%),以咽痛与咽部异物感为主诉就诊的老年患者,男性比例略低于女性,分别为8.5%、13.0%,16.7%∶27.7%;合并胃病的老年患者,男性与女性比例为53.7%∶48.9%;有高血压等其他合并症的老年患者,男女基本持平,分48.1%、55.3%。老年患者动态喉镜结果中有声带闭合不全及黏膜波减弱表现的患者中男性比例略高于女性,分别为27.8%、10.6%、48.1%∶38.3%。有吸烟饮酒病史的老年患者RSI评分与无吸烟饮酒病史的老年患者之间无差异,然而有吸烟饮酒病史的老年患者RFS评分明显高于无吸烟饮酒病史的老年患者(P=0.001,P=0.001)。在对老年患者嗓音声学分析的研究中发现,性别、鼻部疾病及吸烟饮酒不良嗜好均对嗓音声学参数产生一定影响。 结论 耳鼻咽喉门诊就诊咽喉良性病变老年患者男性较女性存在更多的喉部特征性形态改变,老年嗓音声学参数异常受多重因素影响。

关键词: 咽喉良性病变, 动态喉镜, 嗓音声学分析, 咽喉反流症状指数评分, 反流体征评分

Abstract: Objective To investigate the morphological characteristics of the larynx and the acoustic characteristics of the voice of elderly patients with benign laryngopharyngeal lesions. Methods We included 101 elderly patients with benign laryngopharyngeal lesions(age ≥60 years, 54 males, 47 females)from July 14, 2020 to November 30, 2020 in our outpatient clinic. All the patients underwent an electronic nasopharyngolaryngoscope, RSI(Reflux Symptoms Index), RFS(Reflux Findings Score), dynamic laryngoscope, and voice acoustic analysis. Results Elderly males significantly complained more of hoarseness than elderly females(53.7% in males and 29.8% in females), and the number of elderly males with complaints of pharyngeal pain or pharyngeal foreign body sensation was slightly lower than females(8.5%∶13.0%, 16.7%∶27.7%, respectively). The proportion of elderly patients with gastric diseases was 53.7% for men and 48.9% for women. The proportion of elderly men and women with hypertension or other complications was almost equal. A relatively higher proportion of elderly men had vocal cord insufficiency or mucosal wave attenuation dynamic laryngoscopic examination than women(27.8%∶10.6%, 48.1%∶38.3% respectively). There was no difference between the RSI scores of elderly patients with a history of smoking or drinking and those without, whereas the RFS scores of elderly patients with a history of smoking and drinking were significantly higher than those without(P=0.001, P=0.001). The vocal analysis of elderly patients revealed that sex, nasal diseases, and bad habits of smoking and drinking influence the acoustic parameters of the voice. Conclusion There were more characteristic morphological laryngeal changes in elderly men with benign laryngopharyngeal lesions than in women. The abnormal acoustic parameters of the aged voice are affected by multiple factors.

Key words: Elderly patients with benign laryngopharyngeal lesions, Dynamic laryngoscope, Voice acoustic analysis, Reflux symptoms index, Reflux finding score

中图分类号: 

  • R767.92
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