【摘要】：目的：提出室?guī)М惓５姆侄�；�?yīng)用XION嗓音分析軟件,對(duì)室?guī)幱诓煌恢脮r(shí)的發(fā)聲情況進(jìn)行聲學(xué)測(cè)試,探討室?guī)幱诓煌恢脮r(shí)的嗓音變化特征；探討室?guī)c發(fā)音的關(guān)系及室?guī)У奈恢脤?duì)發(fā)音的影響。 方法：應(yīng)用多媒體技術(shù),采用XION聲學(xué)分析軟件,選擇2009年2月到2010年12月于天津醫(yī)科大學(xué)第二醫(yī)院耳鼻喉科就診患者100例,其中室?guī)е虚g位20例,Ⅰ度外展位20例,Ⅱ度外展位20例,Ⅰ度內(nèi)收位20例,Ⅱ度內(nèi)收位20例。對(duì)上述100例患者行電子喉鏡和嗓音聲學(xué)分析。利用XION電子喉鏡進(jìn)行室?guī)恢玫拇_定,位置確定后,對(duì)受試者進(jìn)行聲音疲勞試驗(yàn)指數(shù)及聲音障礙指數(shù)測(cè)定,聲音疲勞試驗(yàn)中測(cè)得的參數(shù)為低聲壓級(jí)和高聲壓級(jí)的錯(cuò)誤率,對(duì)同一室?guī)恢玫哪信g的聲壓級(jí)的錯(cuò)誤率進(jìn)行比較,并對(duì)不同位置室?guī)晧杭?jí)的錯(cuò)誤率進(jìn)行比較；聲音障礙指數(shù)測(cè)定中所得到的參數(shù)為最高基頻、最小音量、最長(zhǎng)發(fā)音時(shí)間、Jitter、DSI,比較同一室?guī)恢玫哪信g的各參數(shù)有無(wú)統(tǒng)計(jì)學(xué)意義,并對(duì)室?guī)Р煌恢玫耐粎?shù)進(jìn)行比較。 結(jié)果：聲音疲勞試驗(yàn)測(cè)試：①組內(nèi)性別間比較：室?guī)Б蚨韧庹刮荒信詣e間比較均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；室?guī)Б穸韧庹刮荒信詣e間比較均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；室?guī)е虚g位低聲壓級(jí)男女性別間比較有統(tǒng)計(jì)學(xué)意義(P0.05),高聲壓級(jí)男女性別間比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；室?guī)Б穸葍?nèi)收位男女性別間比較無(wú)統(tǒng)計(jì)學(xué)意義(p＞0.05)；室?guī)Б蚨葍?nèi)收位低聲壓級(jí)男女性別間比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),高聲壓級(jí)男女性別間比較有統(tǒng)計(jì)學(xué)意義(P0.05)。②室?guī)Р煌恢猛粎?shù)比較：男性各組間低聲壓級(jí)錯(cuò)誤率比較：P均0.05；男性高聲壓級(jí)錯(cuò)誤率室?guī)Б穸韧庹刮缓廷蚨韧庹刮恢g比較明顯無(wú)差異(P0.05),余有統(tǒng)計(jì)學(xué)意義(P0.05)；女性室?guī)Б穸葍?nèi)收位和Ⅱ度內(nèi)收位間之間低聲壓級(jí)錯(cuò)誤率比較無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),室?guī)Б穸韧庹刮缓廷蚨韧庹刮恢g低聲壓級(jí)錯(cuò)誤率比較無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),余有統(tǒng)計(jì)學(xué)意義(p0.05)；女性高聲壓級(jí)錯(cuò)誤率比較：室?guī)Б蚨韧庹刮缓褪規(guī)Б穸葍?nèi)收位比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),余有統(tǒng)計(jì)學(xué)意義(p0.05)。 聲音障礙指數(shù)測(cè)試：①組內(nèi)性別間比較：室?guī)Б蚨韧庹刮荒信g最高基頻、最小音量、最長(zhǎng)發(fā)音時(shí)間、Jitter比較無(wú)統(tǒng)計(jì)學(xué)意義(p0.05),DSI比較有統(tǒng)計(jì)學(xué)意義(P0.05)；Ⅰ度外展位男女之間最高基頻、最小音量、最長(zhǎng)發(fā)音時(shí)間、Jitter、DSI各值比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；中間位男女之間最高基頻、最小音量、最長(zhǎng)發(fā)音時(shí)間、Jitter、DSI各值比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；Ⅰ度內(nèi)收位男女之間最高基頻、最小音量、最長(zhǎng)發(fā)音時(shí)間、Jitter、DSI各值比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；Ⅱ度內(nèi)收位男女之間最高基頻、最小音量、Jitter、DSI各值比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),最長(zhǎng)發(fā)音時(shí)間比較有統(tǒng)計(jì)學(xué)意義(P0.05)。②室?guī)Р煌恢猛粎?shù)比較的結(jié)果：男性、女性室?guī)Ц魑恢肈SI比較均有統(tǒng)計(jì)學(xué)意義(P0.05)；男性Ⅱ度外展位和Ⅰ度內(nèi)收位最高基頻比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),其他位置最高基頻比較有統(tǒng)計(jì)學(xué)意義(P0.05),女性Ⅱ度外展位和Ⅰ度內(nèi)收位最高基頻比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),其他位置最高基頻比較有統(tǒng)計(jì)學(xué)意義(P0.05)；男性、女性各位置之間最小音量比較均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；男性、女性各位置最長(zhǎng)發(fā)音時(shí)間比較均有統(tǒng)計(jì)學(xué)意義(P0.05)；男性室?guī)Б蚨韧庹刮缓廷穸韧庹刮籎itter比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),其余位置Jitter均比較有統(tǒng)計(jì)學(xué)意義(P0.05),女性室?guī)Б蚨韧庹刮缓廷穸韧庹刮�、室�(guī)Б蚨韧庹刮缓廷穸葍?nèi)收位Jitter比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),其他位置比較均有統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論：①室?guī)⑴c了發(fā)音的過(guò)程；②室?guī)г谡Ｎ恢脮r(shí),聲音疲勞度和聲音障礙指數(shù)最低,室?guī)x正常位置后,聲音疲勞度和聲音障礙指數(shù)增高；隨偏離的程度的加大聲音疲勞度和聲音障礙指數(shù)加大；③室?guī)?nèi)收位對(duì)聲音的影響和室?guī)庹刮粚?duì)聲音的影響有差異,病變不具有對(duì)稱性,室?guī)?nèi)收位聲音疲勞的程度和聲音障礙指數(shù)的程度高于室?guī)庹刮?Ⅱ度內(nèi)收位對(duì)發(fā)音影響最大；④聲音疲勞測(cè)試和聲音障礙指數(shù)測(cè)試可以作為評(píng)價(jià)室?guī)Р∽兊闹匾陀^指標(biāo)。
[Abstract]:Objective : To propose the division of ventricular zone anomaly .
This paper applies XION ' s voice analysis software to test the phonation condition of the room with different positions , and discusses the characteristic of voice variation when the room band is in different positions .
To explore the relationship between the room band and pronunciation and the influence of the position of the chamber band on pronunciation .

Methods : 100 patients were treated with XION acoustic analysis software from February 2009 to December 2010 in the second hospital of Tianjin Medical University .
The parameters obtained in the measurement of the sound barrier index are the highest fundamental frequency , the minimum volume , the longest pronunciation time , the distance , the dsi , the comparison of the parameters between the men and women in the same chamber band position , and the comparison of the same parameters with different positions of the chambers .

Results : There was no significant difference between sex among males and females ( P0.05 ) .
There was no significant difference in sex between male and female ( P0.05 ) .
There was no significant difference between male and female sex ( P0.05 ) , and there was no significant difference between sex among male and female ( P0.05 ) .
There was no significant difference in sex between male and female in room I ( p > 0.05 ) .
There was no significant difference between male and female sex between male and female ( P0.05 ) .
There was no significant difference between grade 鈪，

本文編號(hào)：2126456