舌部功能锻炼对舌黏膜尿道成形术患者语言功能的影响

Effect of lingual functional training on the language function in patients undergoing urethral reconstruction using lingual mucosa

目的 探讨复杂性尿道狭窄患者实施舌黏膜尿道成形术术后进行舌部功能锻炼对语言功能恢复状况的影响.方法 将100例实施舌黏膜尿道成形术患者随机分为研究组和对照组各50例.对照组接受传统方法,研究组接受语言功能锻炼护理干预,两组分别在术后第1,3,5,7天观察舌部创面情况,以汉语构音障碍检法检测患者构音情况,Jiyan评分法评价语言表达能力.结果 研究组术后第7天通过交流语言功能恢复总有效率为92.0％,对照组为68.0％,差异有统计学意义（x2=7.563,P=0.006）.手术第7天,研究组舌部灵活程度较对照组改善,主要表现为舌左右摆动、后缩下舔及咀嚼功能,其吐字清晰度及语句表达能力亦有较明显改善.结论 实施系统的语言功能锻炼干预的舌黏膜尿道成形术患者依从性良好,其发音情况、发音清晰度、语言表达能力显著改善.

Objective To evaluate the effect of lingual functional training on the recovery of language function in patients with complex urethral stricture undergoing urethral reconstruction using lingual mucosa. Methods One hundred patients who underwent urethral reconstruction using lingual mucosa were randomly divided into two groups： 50 patients in experimental group and 50 patients in control group. The patients in the control group accepted traditional nursing care. The patients in the experimental group accepted nursing intervention and lingual functional training. The tongue wound, articulation ability with Chinese dysarthria, verbal ability with Jiyan score evaluation were observed and evaluated on day 1, day 3, day 5 and day 7 after operation in the two groups. Results On the 7th day after operation, the total effective rate in the recovery of language function by communication was 92.0% in the experimental group and 68.0% in the control group, and the difference was statistically significant （ X2 = 7. 563, P = 0. 006 ）. And, on the 7th day after operation, the lingual flexibility in the patients in the experimental group showed more flexible than that in the control group, mainly in the horizontal motion, retraction, licking and chewing function. Articulation and verbal ability in the experimental group also got improved in comparison to the control group. Conclusions The patients undergoing urethral reconstruction using lingual mucosa who accept lingual functional training and intervention show good compliance, whose articulation ability, verbal ability, lingual flexibility, and quality of life are significantly improved.