THE INFLUENCE OF A HEAT AND MOISTURE EXCHANGER (HME) ON THE RESPIRATORY SYMPTOMS AFTER TOTAL LARYNGECTOMY

被引:97
|
作者
HILGERS, FJM
AARONSON, NK
ACKERSTAFF, AH
SCHOUWENBURG, PF
VANZANDWIJK, N
机构
[1] NETHERLANDS CANC INST,DEPT PSYCHOSOCIAL RES & EPIDEMIOL,AMSTERDAM,NETHERLANDS
[2] NETHERLANDS CANC INST,DEPT PULM,AMSTERDAM,NETHERLANDS
[3] NETHERLANDS CANC CTR,DEPT EAR NOSE & THROAT,AMSTERDAM,NETHERLANDS
[4] UNIV AMSTERDAM,ACAD MED CTR,AMSTERDAM,NETHERLANDS
[5] UNIV AMSTERDAM,DEPT CLIN PSYCHOL,AMSTERDAM,NETHERLANDS
来源
CLINICAL OTOLARYNGOLOGY | 1991年 / 16卷 / 02期
关键词
TOTAL LARYNGECTOMY; RESPIRATORY SYMPTOMS; HEAT AND MOISTURE EXCHANGER; QUALITY OF LIFE; VOCAL REHABILITATION;
D O I
10.1111/j.1365-2273.1991.tb01966.x
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The influence of a heat and moisture exchanger (HME) on the respiratory symptoms after total laryngectomy was studied in 42 patients. A significant reduction was found in the mean daily frequency of sputum production, forced expectoration in order to clean the airway and stoma cleaning after use of the HME for 6 weeks. Symptoms of fatigue and malaise decreased significantly, while social contact improved. Patients using oesophageal speech or an electrolarynx benefited more than patients using a voice prosthesis. The findings indicate that respiratory problems after total laryngectomy can be reduced significantly with the use of a device with heat and moisture exchanging properties. In turn, reduction of respiratory symptoms results in an improved quality of life.
引用
收藏
页码:152 / 156
页数:5
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