六神丸联合气管食管发音法对喉癌术后患者发音及吞咽功能的影响  

Effects of Liushen Pills Combined with Tracheal Esophageal Pronunciation on Pronun-ciation and Swallowing Function of Postoperative Laryngeal Carcinoma

作　　者：黄蓓 齐志峰 刘晓薇[2] 纪东 HUANG Bei;QI Zhi-feng;Liu Xiao-wei;Ji Dong(Department of Otolaryngology,Wuhu Second People's Hospital,Wuhu Anhui 5317607;Department of Onolaryngolog Head and Neck Surgery,Anhui Provincial Hospital,Hefei Anhui 230000)

机构地区：[1]芜湖市第二人民医院耳鼻喉科,安徽芜湖533607 [2]安徽省立医院耳鼻喉头颈外科,安徽合肥230000

出　　处：《世界中西医结合杂志》2020年第9期1704-1707,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：2016年度省卫生计生委中医药科研计划项目(2016ZY129)

摘　　要：目的探讨六神丸联合气管食管发音法对喉癌术后患者发音及吞咽功能的影响。方法选取2015年5月—2019年5月期间于芜湖市第二人民医院耳鼻喉科接受治疗的喉癌术后发音及吞咽功能障碍患者55例,随机分为治疗组28例和对照组27例。两组患者均给予饮食护理、心理护理等常规治疗方法,在此基础上对照组使用气管食管发音法治疗,治疗组采用六神丸联合气管食管发音法进行治疗。治疗2个月后,比较两组饮水试验评级,治疗不同时期嗓音障碍指数(VHI)、生活质量(QLICP-HN)评分及术后并发症发生情况。结果治疗2个月后,两组患者饮水试验评级,治疗组总有效率89.29%(25/28)高于对照组51.85%(14/27),差异有统计学意义(P<0.05)。治疗15 d后,治疗组VHI评分[功能(F)、情感(E)、生理(P)、总分(T)]均低于本组治疗前(P<0.05),且低于同期对照组(P<0.05);治疗2个月后,对照组VHI评分均低于本组治疗前(P<0.05),治疗组VHI评分均低于本组治疗前和治疗15 d后(P<0.05),且低于同期对照组(P<0.05)。治疗2个月后,两组患者QLICP-HN评分(躯体功能、社会功能、心理功能、不良反应和共性症状)均高于本组治疗前(P<0.05),且治疗组高于对照组,差异有统计学意义(P<0.05)。对照组并发症发生率25.93%(7/27),治疗组并发症发生率10.71%(3/28),两组比较差异有统计学意义(P<0.05)。结论六神丸联合气管食管发音法治疗喉癌术后患者,可有效改善患者发音及吞咽功能,提高生活质量,减少并发症的发生。Objective To explore the effects of Liushen pills combined with treatment of tracheal esophageal pronunciation on pronunciation and swallowing function of patients with postoperative laryngeal carcinoma. Methods From May 2015 to May 2019,A total of 55 patients with speech and swallowing dysfunction after surgery for laryngeal cancer who were treated at the Department of Otolaryngology,Wuhu Second People’s Hospital were randomly divided into the observation group( n = 28) and the control group( n = 27). All patients were given routine treatments with dietary care and psychological care. On this basis,the control group was treated with trachea esophageal pronunciation,and the observation group was treated with oral Liushen pills combined with trachea esophageal pronunciation,and all of patients were treated for two month. The drinking water experiment ratings,changes in voice disorder index( VHI) for different periods of treatment,changes in quality of life( QLICP-HN) score and postoperative complications were compared in two groups. Results After 2 months of treatment,the two groups of patients were rated for drinking water experiment. The total effective rate of the treatment group was 89. 29%( 25/28) higher than that of the control group 51. 85%( 14/27),the difference was statistically significant( P < 0. 05). After 15 days of treatment,the VHI scores[function( F),emotion( E),physiology( P),total score( T) ]of the treatment group were lower than those before treatment( P < 0. 05),and lower than those of the control group during the same period( P < 0. 05);After 2 months of treatment,the VHI scores of the control group were lower than those before treatment( P < 0. 05),and the VHI scores of the treatment group were lower than those before treatment and 15 days after treatment( P < 0. 05),And lower than the control group( P < 0. 05). After 2 months of treatment,the QLICP-HN scores( physical function,social function,psychological function,adverse reactions and common symptoms) of the two groups of patients were h

关 键 词：喉癌 六神丸 气管食管发音法 发音功能 吞咽功能 

分 类 号：R780.25[医药卫生—口腔医学]