-
摘要: 嗓音是人类沟通交流的重要工具,其健康贯穿于个体生命周期的各个阶段。本文从全生命周期的视角,探讨了嗓音健康的重要性以及不同阶段(儿童期、青少年期、成年期、老年期)嗓音的需求、发声器官的变化和嗓音障碍的主要病因、发病率、对社会功能的影响和治疗方法。儿童期嗓音障碍发病率较高,对儿童心理和社会功能发展造成不利影响,最为常见的是声带小结,对儿童期嗓音障碍的治疗仍重视不够;青春期嗓音障碍主要与生理发育和激素水平变化有关,常表现为音调异常;老年期喉结构和功能出现老化,而积极干预和治疗可延缓此过程。因而,维护嗓音健康应着眼于预防和管理整个生命周期中的嗓音问题,对每一阶段进行针对性地嗓音保健和干预。构建全方位的嗓音健康管理框架,从而维护个体良好的健康状态和社会功能。Abstract: Voice is a vital tool for human communication, and its health spans across various stages of an individual's life cycle. This article discuss the importance of voice health from a lifecycle perspective, exploring the needs of voice, phonatory organ changes, the main etiologies and their incidence, the impact on social function, and treatment of voice disorders at different stages (childhood, adolescence, adulthood, and old age). During childhood, due to incomplete vocal cords development and weak behavioral control, the incidence of voice disorders is high, which adversely affects children's psychological and social function development. The most common condition is vocal nodules, and there has been insufficient attention to the treatment of voice disorders in this stage. Voice disorders during adolescence are mainly related to physiological development and hormonal changes. In the elderly, the larynx undergoes structural and functional aging, which can be delayed with active intervention and treatment. Therefor, maintaining voice health should focus on preventing and managing voice problems throughout the entire life cycle, with targeted voice care and intervention at each stage. Establishing a comprehensive voice health management framework thereby upholds an individual's optimal health status and social function.
-
Key words:
- life cycle /
- phonatory organs /
- voice disorders /
- childhood /
- adolescence /
- old age
-
[1] Robert TS. Voice Science[M]. United Kingdom: Plural publishing Inc, 2005: 50-51.
[2] Boseley ME, Hartnick CJ. Development of the human true vocal fold: depth of cell layers and quantifying cell types within the lamina propria[J]. Ann Otol Rhinol Laryngol, 2006, 115: 784-788. doi: 10.1177/000348940611501012
[3] Hartnick CJ, Rehbar R, Prasad V. Development and maturation of the pediatric human vocal fold lamina propria[J]. Laryngoscope, 2005, 115: 4-15. doi: 10.1097/01.mlg.0000150685.54893.e9
[4] Boseley ME, Hartnick CJ. Development of the human true vocal fold: depth of cell layers and quantifying cell types within the lamina propria[J]. Ann Otol Rhinol Laryngol, 2006, 115(10): 784-788. doi: 10.1177/000348940611501012
[5] Hartnick CJ, Rehbar R, Prasad V. Development and maturation of the pediatric human vocal fold lamina propria[J]. Laryngoscope, 2005, 115(1): 4-15. doi: 10.1097/01.mlg.0000150685.54893.e9
[6] Kirgezen T, Sunter AV, Yigit O, et al. Sex Hormone Receptor Expression in the Human Vocal Fold Subunits[J]. J Voice, 2017, 31(4): 476-482. doi: 10.1016/j.jvoice.2016.11.005
[7] Kim JM, Shin SC, Park GC, et al. Effect of sex hormones on extracellular matrix of lamina propria in rat vocal fold[J]. Laryngoscope, 2020, 130(3): 732-740. doi: 10.1002/lary.28086
[8] Kost KM, Sataloff RT. Voice Disorders in the Elderly[J]. Clin Geriatr Med, 2018, 34(2): 191-203. doi: 10.1016/j.cger.2018.01.010
[9] Martins RH, Benito Pessin AB, Nassib DJ, et al. Aging voice and the laryngeal muscle atrophy[J]. Laryngoscope, 2015, 125(11): 2518-2521. doi: 10.1002/lary.25398
[10] Powell M, Filter MD, Williams B. A longitudinal study of the prevalence of voice disorders in children from a rural school division[J]. J Commun Disord, 1989, 22(5): 375-382. doi: 10.1016/0021-9924(89)90012-9
[11] Alrahim A, Alshaibani AK, Algarni S, et al. Prevalence and Determinants of Hoarseness in School-Aged Children[J]. Int J Environ Res Public Health, 2022, 19(9): 5468. doi: 10.3390/ijerph19095468
[12] Carding PN, Roulstone S, Northstone K, et al. The prevalence of childhood dysphonia: a cross-sectional study[J]. J Voice, 2006, 20(4): 623-630. doi: 10.1016/j.jvoice.2005.07.004
[13] Szkiełkowska A, Miaśkiewicz B, Gos E, et al. Voice disorders in children starting school education[J]. Otolaryngol Pol, 2020, 74(6): 16-20. doi: 10.5604/01.3001.0014.1613
[14] Mohammadzadeh A, Sandoughdar N. Prevalence of Voice Disorders in Iranian Primary School Students[J]. J Voice, 2017, 31(2): 263. e13-263. e18. doi: 10.1016/j.jvoice.2016.04.004
[15] 刘军. 东莞地区学龄儿童嗓音状况调查[J]. 中国当代医药, 2016, 23(25): 153-155.
[16] Duff MC, Proctor A, Yairi E. Prevalence of voice disorders in African American and European American preschoolers[J]. J Voice, 2004, 18(3): 348-353. doi: 10.1016/j.jvoice.2003.12.009
[17] Campano M, Cox SR, Caniano L, et al. A Review of Voice Disorders in School-Aged Children[J]. J Voice, 2023, 37(2): 301. e1-301. e7. doi: 10.1016/j.jvoice.2020.12.018
[18] 刘恒鑫, 黄冬雁. 儿童嗓音障碍的评估与治疗[J]. 听力学语言康复科学杂志, 2023, 18(5): 225-228.
[19] 庄佩耘, 刘昀逸. 内分泌激素与嗓音[J]. 山东大学耳鼻喉眼学报, 2021, 35(3): 5-9.
[20] 徐洁洁. 老年期嗓音的生理特征及保健[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 14-18.
[21] Rapoport SK, Menier J, Grant N. Voice Changes in the Elderly[J]. Otolaryngol Clin North Am, 2018, 51(4): 759-768. doi: 10.1016/j.otc.2018.03.012
[22] Vaca M, Mora E, Cobeta I. The Aging Voice: Influence of Respiratory and Laryngeal Changes[J]. Otolaryngol Head Neck Surg, 2015, 153(3): 409-413. doi: 10.1177/0194599815592373
[23] Kost KM, Sataloff RT. Voice Disorders in the Elderly[J]. Clin Geriatr Med, 2018, 34(2): 191-203. doi: 10.1016/j.cger.2018.01.010
[24] de Araújo Pernambuco L, Espelt A, Balata PM, et al. Prevalence of voice disorders in the elderly: a systematic review of population-based studies[J]. Eur Arch Otorhinolaryngol, 2015, 272(10): 2601-2609. doi: 10.1007/s00405-014-3252-7
[25] Gregory ND, Chandran S, Lurie D, et al. Voice disorders in the elderly[J]. J Voice, 2012, 26(2): 254-258. doi: 10.1016/j.jvoice.2010.10.024
[26] Gorman S, Weinrich B, Lee L, et al. Aerodynamic changes as a result of vocal function exercises in elderly men[J]. Laryngoscope, 2008, 118(10): 1900-1903. doi: 10.1097/MLG.0b013e31817f9822
[27] Berg EE, Hapner E, Klein A, et al. Voice therapy improves quality of life in age-related dysphonia: a case-control study[J]. J Voice, 2008, 22(1): 70-74. doi: 10.1016/j.jvoice.2006.09.002
计量
- 文章访问数: 213
- 施引文献: 0