Arvedson J C, Brodsky L
Department of Speech-Language-Hearing, Children's Hospital of Buffalo, NY 14222.
Int J Pediatr Otorhinolaryngol. 1992 May;23(3):237-43. doi: 10.1016/0165-5876(92)90105-x.
The pattern of referral of infants and children with tracheotomy to speech-language pathology (SLP) was studied through a retrospective review. Less than half (29/62) were referred to SLP with no difference by surgical service (otolaryngology vs pediatric surgery) or length of time with tracheotomy. Younger children were referred far less frequently than older children. Furthermore, more than half of all children referred to SLP showed moderate to severe communication deficits. Central nervous system abnormalities were documented in 66% of the subjects. In the majority tracheotomies were in place longer than 12 months. On the basis of the findings, a protocol was established for early routine involvement of SLP with infants and children with tracheotomy.
通过回顾性研究，对接受气管切开术的婴幼儿转介至言语语言病理学（SLP）的模式进行了研究。不到一半（29/62）的患者被转介至SLP，手术科室（耳鼻喉科与小儿外科）或气管切开术时长并无差异。年幼儿童被转介的频率远低于年长儿童。此外，转介至SLP的所有儿童中，超过一半表现出中度至重度沟通障碍。66%的受试者记录有中枢神经系统异常。大多数气管切开术的留置时间超过12个月。基于这些发现，制定了一项方案，以便SLP对接受气管切开术的婴幼儿进行早期常规干预。
