从嗓音疾病调查结果看.docVIP

从嗓音疾病调查结果看“歌唱伤 气”理 论 钟渠 ，李雪 (I 四川I省自贡市第三人民医院64 302 0；2 四川省人民医院610000) 摘要：目的：为探讨“歌唱伤气”理论的正确性 方法：采用整群随机抽样方法，对比调查了5 02名歌 唱学生和2 00名非歌唱学生嗓音疾病、气虚证和气滞证 肺活量 声时及歌唱学生发病谤因等情况。结 果：歌唱学生气虚和气滞证发生率明显高于非歌唱学生(P0．01)，且歌唱学生嗓音疾病患者气虚和气 滞证 肺活量值、声时值均与歌唱学生无嗓音疾病者及非歌唱学生嗓音疾病患者有非常显著差异(PO． oi)。歌唱学生气虚和气滞证人数比例随练声时间增加而增多，超过6O分钟以上者高于60分钟以下者， 高音歌唱者高于中音及低音歌唱者，惯用硬起音者高于不惯用者，胸腹式联合呼吸者低于单纯胸式或腹 式呼吸者(P0．01)。结论：“歌唱”引起的叫 气”是嗓音疾痛产生的主要原因，“歌唱伤气”理论县有 正确性和科学性 关键词：歌唱伤气：嗓音疾病；调查；气虚证；气滞证；肺活量；声时 中图分类号：R2 23．i+4 文献标识码：A 文章编号：l 004—6852(2 002)O卜0 003—03 SIUI)~IN6 IHE THEORY OF SIN6ING lS HARMFUL TO 0I ON THE BASIS OF THE lNVESTlGAT10N OF VOl CE DISEASES ZHdNG Ou’．Ll Xue (1 The Thi rd People Ho spitaI of 7I 60iq6 City，SICItUAiq Provirice 64302 0) (2 People Ho s pitaI of SICItOAi~Province 61 0000) ^bstra~t：Purpose：in order t0 di$CllSs the ~01717eCtriess of the theory of s1riging i S harmfu1 to QI”．Method：I rlv6$tigate the v0ice di$elt$6，QI defi ciency and QI stagnati011，vi— taI capacity．VOice hour s and the inducing C~11156$ of singing student s of 5 02 s[nging stu— der~ts and 20O non—singing students by c0nt ra st by the Itlethod of random s amp1ing I1 gloups．ItesuIt：The incidence of Q1 deficiency and Q1 stagnati011 of sing~ng student s i s obviOIlSlY higher than that of nort—s inging student s (P(0．01)，and there are ver~notab1e difference s among silaging student s who suffer v0ice di$ea se$．singlng student s without voice di$ease$ and n0n—singing student s who suffer frool di$ease$ in the a spect s of 01 defici6ncy andQI stggnati011，vital ca1)acitY and v0ice hour s．The rate of QI deficiency and QI stagnation in singing student S liIcrea se$along with the pr~tcti sing singing hours： over 60 minute s i s higher thaI1 bel0w 6 0 minilt e s：the high—tone si~ger higher thart the !ow—tone singer；singer s who are u sed to manage t0 begiI1 singing with diffi culties higher than those who a re not used to ：thoracl c0一abdor~ina1 breather lower thart pure abdomina l bleathef (PO．01)．ConcIusion： Ha rmful t0 O1” induced by．”singing i