Ackerstaff A H, Hilgers F J, Aaronson N K, Schouwenburg P F, van Zandwijk N
Afd. Psychosociaal Onderzoek, Het Nederlands Kanker Instituut, Antoni van Leeuwenhoek Huis.
Ned Tijdschr Geneeskd. 1990 Dec 15;134(50):2438-42.
The incidence and severity of respiratory symptoms after total laryngectomy and their influence on everyday life were studied in 59 patients. Almost all patients (98%) have daily complaints of excessive sputum production and 64% of coughing. More than half the patients (57%) use forced expectoration more than 5 times a day in order to clear the airways and 37% have to clean the stoma more than 5 times a day. Respiratory problems appear to impair the quality of the voice, social contacts and psychological wellbeing and are associated with increased fatigue and sleep problems. In a prospective study the effect of a heat and moisture exchanger (HME) was measured in 42 patients. The frequency of sputum production, forced expectoration to clear the airways and stoma cleaning diminished significantly. As a result, feelings of fatigue decreased and social contacts improved. Respiratory problems after total laryngectomy deserve more attention. Treatment with an HME can in selected cases improve several other physical and psychosocial problems associated with this operation.
对59例全喉切除术后患者的呼吸道症状发生率、严重程度及其对日常生活的影响进行了研究。几乎所有患者（98%）每天都有痰液分泌过多的主诉，64%的患者有咳嗽症状。超过一半的患者（57%）每天为清理气道进行用力咳痰超过5次，37%的患者每天必须清理造口超过5次。呼吸问题似乎会损害嗓音质量、社交联系和心理健康，并与疲劳增加和睡眠问题有关。在一项前瞻性研究中，对42例患者测量了热湿交换器（HME）的效果。痰液分泌频率、为清理气道进行的用力咳痰以及造口清理次数均显著减少。结果，疲劳感减轻，社交联系得到改善。全喉切除术后的呼吸问题值得更多关注。在某些情况下，使用HME治疗可以改善与该手术相关的其他一些身体和心理社会问题。
