Hilgers F J, Ackerstaff A H, Balm A J, Gregor R T
Department of Otolaryngology, The Netherlands Cancer Institute (Antoni van Leeuwenhoek Hospital), Amsterdam, The Netherlands.
Clin Otolaryngol Allied Sci. 1996 Oct;21(5):414-8. doi: 10.1046/j.1365-2273.1996.00817.x.
In previous studies investigating the influence of a heat and moisture exchanger on the respiratory and psychosocial problems of laryngectomized patients, the value of regular use of such a device could clearly be established. However, the compliance with the use of these devices was not optimal, mainly due to problems related to the plaster and to the often troublesome combination of these HMEs with a voice prosthesis. Therefore, a prospective, clinical trial was undertaken to investigate whether the use of a newly developed heat and moisture exchanger (HME, Provox stomafilter) could improve the acceptibility of such a device. In total, 19 patients participated in this study, 13 men and six women. Vocal rehabilitation was achieved with a Provox voice prosthesis in all patients. Each of the patients was provided with a supply of HMEs for a 3-week trial period. The results showed that all patients were clearly positive about the valve used for digital occlusion of the stoma. Voicing was considerably facilitated and the intelligibility improved. Problems experienced in previous studies related to the adhesive tape, such as skin irritation, inadequate adherence and loosening of the plaster by coughing or forced expectoration, could be solved by the availability of the different adhesives included in this system.
在之前关于热湿交换器对喉切除患者呼吸和心理社会问题影响的研究中，已明确证实定期使用该装置的价值。然而，这些装置的使用依从性并不理想，主要是由于与胶布相关的问题，以及这些热湿交换器与语音假体搭配时常常带来麻烦。因此，开展了一项前瞻性临床试验，以研究使用新开发的热湿交换器（HME，Provox造口过滤器）是否能提高该装置的可接受性。共有19名患者参与了本研究，其中13名男性和6名女性。所有患者均使用Provox语音假体实现了发声重建。为每位患者提供了一批热湿交换器，用于为期3周的试验期。结果显示，所有患者对用于造口数字闭塞的瓣膜均明确持肯定态度。发声得到了极大促进，清晰度也有所提高。先前研究中与胶布相关的问题，如皮肤刺激、粘贴不充分以及因咳嗽或用力咳痰导致胶布松动等，可通过该系统中包含的不同胶粘剂得到解决。
