在儿科开放呼吸道重建后对失声症的描述:系统性审查和元分析
Zachary Dahan1, Alix Pincivy2, Carol Nhan1,3,4
1Department of Surgery, Faculty of Medicine, University of Montreal, Montreal, QC, Canada.
概括
儿科患者在呼吸道重建手术后经常出现语音问题. 这项研究发现,这些儿童的语音质量和生活质量有所下降,这凸显了优先考虑语音结果的必要性.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 语音和语言病理学 语言病理学
- 手术结果研究研究.
背景情况:
- 儿科喉支气管狭窄症经常需要开放的呼吸道重建.
- 虽然成功地建立了通风,但这些手术往往会导致二次发声障碍 (语音障碍).
- 现有的研究已经探索了各种声乐后重建的结果.
研究的目的:
- 在开放的呼吸道重建后,系统地评估儿科患者的听力障碍.
- 专注于分析声学语音参数,感知语音质量和与语音相关的生活质量.
- 综合当前关于儿科呼吸道手术后声乐功能的证据.
主要方法:
- 在6个数据库中按照PRISMA指南进行了系统的文献搜索.
- 包括报告儿科患者接受开放呼吸道重建的研究,以及声乐结果数据.
- 进行了共同结果的定性综合和定量元分析,评估了偏差风险.
主要成果:
- 分析了21项涉及497名儿科患者的研究.
- 最常见的手术是喉外骨造形术和外骨切除术.
- 语音共识听觉感知评价 (CAPE-V) 平均得分为55.6,表明中度听力障碍;儿科语音障碍指数 (pVHI) 平均得分为35.6,表明生活质量下降.
结论:
- 接受开放呼吸道重建的儿科患者通常会经历失声症和语音相关生活质量降低.
- 观察到研究方案和结果指标存在显著的异质性.
- 在呼吸道重建期间优先考虑语音保护对于减轻对生活质量的长期影响至关重要.
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