探索喉全切除术后食管言语的特点及其发音机制  

Study the characteristics and pronunciation mechanism of esophageal speech after total laryngectomy

作　　者：李娟[1] 许玉霞[1] LI Juan;XU Yu-xia(Department of Nasopharyngology,Foshan First People’s Hospital,Foshan 528000,China)

机构地区：[1]广东省佛山市第一人民医院鼻咽喉科,528000

出　　处：《中国现代药物应用》2020年第19期31-33,共3页Chinese Journal of Modern Drug Application

基　　金：佛山市卫生和计划生育局(项目编号:20160077)。

摘　　要：目的研究分析食管发声的影响因素,创新喉全切除术后食管发音训练,制定更为系统、规范、有效的食管发音训练方法。方法80例喉全切除术患者,均给予食管发音训练;将其中50例忧郁患者随机分为观察组和对照组,每组25例。观察组患者给予心理干预,对照组患者不给予心理干预。观察患者食管发音训练成功情况,分析食管发音训练成功的影响因素,比较观察组和对照组患者食管发音训练成功情况。结果80例患者中,共有60例患者食管发音训练成功,成功率为75.0%。健康体重患者食管发音训练成功率高于轻体重、超重与肥胖患者,差异具有统计学意义(P<0.05)。青年食管发音训练成功率高于中年、老年患者,差异具有统计学意义(P<0.05)。喉癌TNMⅠ期患者食管发音训练成功率高于Ⅱ期、Ⅲ期、Ⅳ期患者,差异具有统计学意义(P<0.05)。未放疗患者食管训练成功率高于放疗患者,差异具有统计学意义(P<0.05)。正常患者食管训练成功率高于轻度忧郁、重度忧郁患者,差异具有统计学意义(P<0.05)。观察组患者食管发音训练成功率为88.0%,高于对照组的40.0%,差异具有统计学意义(P<0.05)。结论体质量指数(BMI)、年龄、肿瘤分期、是否放疗、忧郁程度均是影响喉全切除术患者术后食管发音训练成功率的关键因素,临床制定术后发音训练方案时,必须考虑这些因素,制定个体化方案,才可提高食管发音训练成功率。Objective To study and analyze the influencing factors of esophageal vocalization,innovate esophageal pronunciation training after total laryngectomy,and develop a more systematic,standardized,and effective esophageal pronunciation training method.Methods 80 patients with total laryngectomy all received esophageal pronunciation training,of which 50 cases of depression were randomly divided into observation group and control group,with 25 cases in each group.The observation group received psychological intervention,and the control group received no psychological intervention.The success rate of esophageal pronunciation training was observed,and the influencing factors were analyzed.The success rate of esophageal pronunciation training between observation group and control group was compared.Results Among 80 patients,60 patients were successful in esophageal pronunciation training,the success rate was 75.0%.The success rate of esophageal pronunciation training of healthy weight patients was higher than that of light weight,overweight and obese patients,and the difference was statistically significant(P<0.05).The success rate of esophageal pronunciation training in young patients was higher than that in middle-aged and elderly patients,and the difference was statistically significant(P<0.05).The success rate of esophageal pronunciation training in laryngeal cancer patients with TNM stageⅠof was higher than that of patients with stageⅡ,ⅢandⅣ,and the difference was statistically significant(P<0.05).The success rate of esophageal training in patients without radiotherapy was higher than that in patients with radiotherapy,and the difference was statistically significant(P<0.05).The success rate of esophagus training in normal patients was higher than that in patients with mild depression and severe depression,and the difference was statistically significant(P<0.05).The success rate of esophageal training of the observation group was 88.0%,which was higher than that of the control group 40.0%,and the difference w

关 键 词：喉全切除术 食管发音训练 影响因素 体质量指数 肿瘤分期 忧郁 

分 类 号：R739.65[医药卫生—肿瘤]