慢性鼻竇炎患者之中醫聞診現代化研究

胡克信
署立桃園醫院
目的: 中醫聞診主要以患者的聲音作為診斷依據，但此傳統辨證方式缺乏客觀記錄，亦無法量化評估。本研究擬以中醫聞診之理論為基礎，利用現代化之語音分析技術，分析慢性鼻竇炎患者治療前後之音聲，並探討其差異，冀能尋找幫助診斷與治療之音聲指標。實施方法: 於2006年間於署立桃園醫院耳鼻喉科門診病患中，依據慢性鼻竇炎診斷標準與鼻竇電腦斷層攝影，篩選慢性鼻竇炎患者60位，再依性別區分為男性組及女性組。測試對象於手術前後分別接受錄音，在隔音室發/a/ 及 /m/ 二音，擷取開始發音第1秒後至第4秒前之音聲，並以多面向音聲分析系統與音聲共鳴等40項參數進行分析。
關鍵字：慢性鼻竇炎；中醫聞診；音聲分析

A Study of Modernized Auscultation in Chinese Medicine for Chronic Rhinosinusitis Patients

ke-shin hu
Tao-Yuan General Hospital
Objectives: Auscultation is one of the major diagnostic methods in traditional Chinese medicine, however, it needs objective documentation and quantitative evaluations. In this study, we assessed the voice in patients with chronic rhinosinusitis before and after surgery by means of computerized acoustic analysis system. Methods: Sixty patients with chronic rhinosinusitis at the department of Otolaryngology, Tao-Yuan General Hospital in 2006 were enrolled for voice analysis. Subjects were asked to phonate /a/ and /m/ for at least 4 seconds at their conversational pitch and intensity in a voice-isolated room before and 3 months after surgery. Approximately 2 seconds from the first second of each recording was subjected to analysis. Thirty acoustic parameters of multi-dimensional voice program (MDVP) and another ten of resonance were assessed.
關鍵字：Chronic rhinosinusitis；Auscultation in Chinese medicine；Voice analysis