气管-食道发言中的自动说话:广泛使用的治疗建议
Ylenia Longobardi1, Lucia D'Alatri2,3, Valentina Francesca Brandi4
1Unità Operativa Complessa di Otorinolaringoiatria, Dipartimento Scienze dell'InvecchiamentoNeurologicheOrtopediche e della Testa-Collo, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.go Agostino Gemelli 8, Roma, Italia.
概括
一个有针对性的康复计划显著提高了自动说话 (ASV) 在喉切除患者的使用. 这种语音假体干预改善了语音和减少了不使用,使ASV的使用率增加了43%.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语音语言病理学
背景情况:
- 喉切除术患者使用语音假体 (VP) 经常面临自动说话 (ASV) 使用的挑战.
- 了解ASV不使用的原因对于改善患者治疗结果至关重要.
研究的目的:
- 为了确定ASV使用的百分比在一个大队列的喉切除患者与VP.
- 确定ASV不使用的主要原因.
- 评估特定康复培训计划的有效性,以增加ASV的使用.
主要方法:
- 对110名VP喉科切除患者进行了人口普查,以评估最初的ASV使用情况.
- 57名患者参加了涉及声器练习的干预阶段.
- 在训练前和训练后使用了问卷和VAS量表来衡量ASV使用率,不使用的原因,粘合剂的耐用性,自由手语音持续时间和皮肤刺激.
主要成果:
- 最初的ASV使用率为17.27%,过度疲劳和粘合剂耐久性差被列为不使用的主要原因.
- 在培训后,ASV的使用显著增加了43%至60% (p <0.05).
- 所有研究的参数都显示出统计学上显著的改善,患者的遵守和满意度很高.
结论:
- 一种专门的,有针对性的康复方法,模拟现实生活中的声音和呼吸挑战,可以提高ASV使用率.
- 这种干预有效地解决了ASV使用的障碍,改善了喉切除患者的功能结果.
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