{
  "abstract": "老年性嗓音是由机体各系统功能衰退导致的嗓音老化现象。在老年群体语音障碍中，老年性嗓音比例高达17.78%，显著影响老年人的社会参与、沟通效率及心理健康。其临床特征呈现多维度变化，生理层面可见声带萎缩、弯曲等导致的声门闭合不全；声学层面可见F₀性别差异缩小，基频微扰（jitter）、标准化噪声能量（normalized noise energy， NNE）升高，谐波噪声比（harmonics-to-noise ratio， HNR）降低；空气动力学层面呈现最长声时（maximum phonation time， MPT）缩短、平均气流率（mean flow rate， MFR）增加，呼吸功能下降；嗓音主观感知表现出粗糙声、气息声等特征；患者自我评估多反映其生活质量下降。目前，临床评估多依赖单一维度，忽视了老年性嗓音的多维特征，易导致误诊、错诊等，难以有效指导临床干预。干预措施主要包括传统嗓音训练、娱乐性干预、手术治疗3类。然而，由于老年人依从性差、护嗓意识薄弱，加之老龄化社会加速到来，以及新一代老年人对嗓音和生活质量要求提高，现有的治疗手段难以满足当代老年人的治疗需求，亟需探究高效的评估以及治疗体系。未来应提升全民老年性嗓音保健意识，探究嗓音退化的规律，整合老年性嗓音的多维特征，建立多维评估模型，以划分嗓音老化的严重程度，建立数字化3级预防体系，提高其依从性，优化老年嗓音健康管理。",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "name": "李圆梦"
    },
    {
      "name": "孙进"
    },
    {
      "name": "钱红"
    },
    {
      "name": "丁忠冰"
    },
    {
      "name": "王勇丽"
    },
    {
      "name": "黄昭鸣"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2yvw94y1bzsng.bib",
  "cited_by": 0,
  "doi": null,
  "fulltext_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.04.015/",
  "id": "2yvw94y1bzsng",
  "issns": [
    "1672-4933"
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  "landing_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.04.015/",
  "language": "zh",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ]
  ],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-07-01",
  "publisher": "Limited Liability Company of Chinese Scientific Journal of Hearing and Speech Rehabilitation",
  "ris": "https://research.draconitic.com/paper/2yvw94y1bzsng.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:23Z",
      "native_id": "ea61c37d913b45a4b7e882c614eb6fa2",
      "source": "doaj",
      "url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.04.015/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:R",
      "subfield": "general"
    }
  ],
  "title": "老年性嗓音的临床特征与干预模式研究进展",
  "title_text": "老年性嗓音的临床特征与干预模式研究进展",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:23Z",
  "url": "https://research.draconitic.com/paper/2yvw94y1bzsng",
  "venue": "Zhongguo tingli yuyan kangfu kexue zazhi",
  "versions": []
}