专业言语康复训练对全喉切除患者言语康复效果的影响  

Effect of specialized language training on the speech rehabilitation of patients after total iaryngectomy

作　　者：席淑新[1] 单蓉[1] 季素娟[1] 归纯漪[1] 凌凌[1] 

机构地区：[1]复旦大学附属眼耳鼻喉科医院,上海200031

出　　处：《中国实用护理杂志（中旬版）》2010年第3期53-55,共3页Chinese Journal of Practical Nursing

基　　金：复旦大学护理科研基金资助项目（200509）

摘　　要：目的确定专业言语康复训练对全喉切除患者食管发音康复效果的影响。方法选取2005年10月至2006年12月全喉切除术后到食管发音训练室参加食管发音培训的患者27例，由经过培训的专业护士对27例患者进行食管音发音培训，并对所有研究对象跟踪随访，分别于1个训练周期结束时及训练后第1、3、6、12个月评定言语康复效果。结果参加培训后1年内，本组患者食管发音效果稳步提高，其中3个月时食管音得分开始显著提高，并维持至12个月。术后的食管音发音质量与患者年龄及手术范围呈负相关。结论专业言语康复训练对全喉切除患者术后食管音康复起到积极的推动作用，由专业人员对喉切除患者进行食管音培训值得进一步推广。Objective To identify the effect of specialized language training on the speech rehabilitation of total laryngectomy （TL）patients. Methods Twenty-seven TL patients were trained for esophageal speech by specialized speechlanguage pathologists from October 2005 to December 2006. Then the participants were followed and evaluated their esophageal sPeech level after one cycle of training program, 1 month, 3 months, 6 months and 12 months after training program. Results The score of participants＇ esophageal speech was steadily improved during the 12 months after participating the training program. The score of esophageal speech greatly increased in the third month, and this significant improvement was kept until 12 months after the training program. The esophageal speech quality was negatively correlated with age and surgery area of patients. Conclusions Specialized speech- language training showed positive effect on esophageal speech rehabilitation, and esophageal speech training by specialists is worthy of wide application.

关 键 词：言语康复 训练 食管音 全喉切除 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]