[喉切除患者的食管语音训练与生活质量]

[Esophageal voice training and quality of life in laryngectomees].

作者信息

Lü Chun-Mei, Bian Xue, Xu Zhen-Gang, Tang Ping-Zhang, Tu Gui-Yi, Yin Yu-Lin, Wang Hong, Wu Xiou-Ling, Yang Yanmei

机构信息

Department of Head and Neck Surgery, Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100021, China.

出版信息

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 May;42(5):353-6.

PMID:17629005

Abstract

OBJECTIVE

To evaluate the extensive and degree of physical rehabilitation improvement of the quality of life in laryngectomees.

METHODS

Forty nine patients who underwent total laryngectomies were trained by esophageal voice rehabilitation successfully. The questionnaires of performance status scale for head and neck cancer patients (PSS-HN) and the functional assessment of head and neck cancer therapy (FACT-H&N) were answered by them before esophageal voice training and 3 months after successful vocal rehabilitation.

RESULTS

Total laryngectomy deteriorated the quality of life in laryngectomees. The mean scores of PSS-HN scale and FACT-H&N questionnaire were lower than the criteria scores after patients underwent total laryngectomy, the mean score were 131. 4,90.6 respectively, the difference was significant statistically (t =53. 673, P <0.001) , (t = 67.44, P <0.001). After successful esophageal speech training, the mean scores of the laryngectomees were improved both in PSS-HN scale and FACT-H&N which were 240.4 and 103.7 respectively, the difference was significant statistically (t = 18.209, P < 0.001) , (t = 21.389, P<0.001).

CONCLUSIONS

The quality of life in laryngectomees can be improved by physical rehabilitation and the esophageal voice training.

摘要

目的

评估喉切除患者身体康复对生活质量改善的广度和程度。

方法

49例接受全喉切除术的患者成功接受了食管语音康复训练。他们在食管语音训练前及语音康复成功后3个月回答了头颈癌患者性能状态量表（PSS-HN）和头颈癌治疗功能评估（FACT-H&N）问卷。

结果

全喉切除术使喉切除患者的生活质量恶化。患者接受全喉切除术后，PSS-HN量表和FACT-H&N问卷的平均得分低于标准得分，平均得分分别为131.4、90.6，差异有统计学意义（t = 53.673，P < 0.001），（t = 67.44，P < 0.001）。食管语音训练成功后，喉切除患者的PSS-HN量表和FACT-H&N平均得分均有所提高，分别为240.4和103.7，差异有统计学意义（t = 18.209，P < 0.001），（t = 21.389，P < 0.001）。