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首页> 外文期刊>The Annals of otology, rhinology, and laryngology >Correlation of vocal fold nodule size in children and perceptual assessment of voice quality.
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Correlation of vocal fold nodule size in children and perceptual assessment of voice quality.

机译：儿童声带结节大小与语音质量的感知评估的相关性。

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摘要

OBJECTIVES: We examined the relationship between the size of vocal fold nodules and perceptual rating of voice quality in children. METHODS: We carried out an Institutional Review Board-approved retrospective study in a voice clinic within a tertiary-care pediatric medical center. We studied children seen between 2000 and 2009 with a primary diagnosis of vocal fold nodules as the cause of their voice disturbance. Pediatric vocal fold nodule size was rated with a published validated scale, and voice quality was rated on the Consensus Auditory-Perceptual Evaluation of Voice scale. RESULTS: One hundred forty-five patients met the inclusion criteria. Small nodules were noted in 23% of patients, medium nodules in 39%, and large nodules in 37%. Univariate and multivariate analyses demonstrated a statistically significant relationship (p < 0.05) between vocal fold nodule size and rated perceptual qualities of overall severity of voice disturbance, roughness, strain, pitch, and loudness. With the exception of loudness, as vocal fold nodule size increased, the mean value of perceptual characteristics became larger. The age of the patient was a significant factor associated with the overall severity of the voice disturbance and roughness. CONCLUSIONS: The overall severity of a child's voice disturbance and qualities of roughness, strain, pitch, and loudness have a strong correlational relationship with pediatric vocal fold nodule size, which is suggestive of causality.
机译：目的：我们研究了儿童声带节结大小与语音质量感知等级之间的关系。方法：我们在三级医疗儿科医疗中心的语音诊所中进行了机构审查委员会批准的回顾性研究。我们研究了2000年至2009年之间见过的儿童，他们最初诊断出有声带小结是其语音障碍的原因。小儿声带节结大小用已发布的有效量表进行评分，语音质量用语音的“共识听觉-感知评估”量表进行评分。结果：145例患者符合纳入标准。在23％的患者中发现小结节，在39％的患者中发现了小结节，在37％的患者中发现了大结节。单因素和多因素分析表明，声带结节大小与语音干扰，粗糙度，张力，音调和响度的整体严重性的额定感知质量之间存在统计学上的显着关系（p <0.05）。除响度外，随着声带节结大小的增加，感知特征的平均值变大。患者的年龄是与语音干扰和声音粗糙的总体严重程度相关的重要因素。结论：儿童语音障碍的总体严重程度与粗糙度，劳损，音调和响度的质量与小儿声带结节大小具有很强的相关性，这表明存在因果关系。

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