在接受心脏或肺移植的患者中评估语音和吞功能的术前和术后方案
Rebecca Black1,2, Duy Duong Nguyen2,3, Anna Miles4
1St Vincent's Hospital, Darlinghurst, Australia.
JHLT open
|June 10, 2025
概括
移植前的语音和吞困难是常见的,但客观评估可能并不总是检测到它们. 需要进一步的研究,以建立移植候选人的最佳查方案.
科学领域:
- 医学研究 医学研究
- 移植医学是一种移植医学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 口腔喉乱和喉功能障碍是肺和心脏移植后的已知的并发症.
- 目前对术前功能和标准化评估协议的理解是有限的.
- 这项研究旨在评估移植候选人的语音和吞功能的术前和术后协议.
研究的目的:
- 试验肺和心脏移植候选人的语音和吞功能的综合性术前和术后评估协议.
- 调查自我报告和客观测量的语音和吞变化的流行情况.
- 确定与这些功能相关的潜在风险因素和临床结果.
主要方法:
- 这是一项前性纵向研究,涉及14名成年肺或心脏移植候选人.
- 评估包括发音任务 (听觉感知,声学分析),视频喉镜和灵活的内镜吞检查.
- 患者报告的生活质量指标和临床结果数据在手术前和手术后收集.
主要成果:
- 在手术前注意到自我报告的声音升高和吞困难.
- 客观的吞评估显示,移植前没有显著的困难 (PAS < 2).
- 手术后,五分之一的患者患有严重的听障,随访完成率具有挑战性.
结论:
- 自我报告的移植前声音和吞变化表明基线查的价值.
- 患者报告和仪器发现之间的差异强调了需要多方面的评估.
- 需要进行更大规模的研究来确定移植群体的最佳语音和吞评估措施和时间.
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