首页> 中文期刊>听力学及言语疾病杂志 >功能性内镜鼻窦手术前后Ⅱ型慢性鼻窦炎患者鼻腔共鸣特性分析

功能性内镜鼻窦手术前后Ⅱ型慢性鼻窦炎患者鼻腔共鸣特性分析

     

摘要

Objective To explore the effect of FESS on nasal resonance characteristics in patient with chronic sinusitis .Methods Detected 50 cases of adult patients with type Ⅱ chronic sinusitis ,and collected the date about the application of multi-channel voice analysis system that tested the pronunciation /i/before and three months af-ter FESS spectrum - energy distribution while compared with 50 normal subjects .Results Patients with type Ⅱchronic sinusitis before surgery compared with normal subjects ,the head of the low -frequency energy was higher , high-frequency was lower ,the difference was statistically significant (P<0 .001) .Voice energy distribution after three months compared with preoperative ,the head of the high-frequency resonance energy improved than preop-erative ,but still relatively low compared with the normal ,the difference was statistically significant (P<0 .05) . While the mouth ,chest and throat in addition to oral FR3 ,FR4 ,postoperative throat FR4 and preoperative chest FR4 ,other frequency -energy compared with normal subjects no significant change was not statistically significant (P>0 .05) .Conclusion For patients with chronic sinusitis ,low -frequency of the voice of nasal resonance de-creased ,and high-frequency increased after FESS .%目的:探讨功能性内镜鼻窦手术(FESS )对慢性鼻窦炎患者鼻腔共鸣特性的影响。方法对符合入选标准的50例成人Ⅱ型慢性鼻窦炎患者,应用“多通道语言分析系统”在FESS术前及术后三个月进行嗓音分析,采集发/i/时头、口、喉、胸四部位的嗓音共鸣频谱-能量,分别统计各部位0~999 Hz (FR1)、1000~1999 Hz (FR2)、2000~2999(FR3)、3000~4000 Hz(FR4)频段的嗓音共鸣能量分布,并与50例正常人比较。结果与正常人相比,Ⅱ型慢性鼻窦炎患者术前头部的低频能量较高,高频能量较低,差异有统计学意义( P<0.001);术后三个月,头部的高频共鸣能量较术前提高,低频能量降低,但仍较正常人低,差异有统计学意义(P<0.05),除口腔的FR3、FR4,术后喉腔的FR4及术前胸部FR4外,其他各频段共鸣能量与正常人相比差异无统计学意义( P>0.05)。结论慢性鼻窦炎患者FESS术后,嗓音的鼻腔共鸣低频能量降低,高频能量增强。

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