摘要
目的对鼻咽癌放疗后吞咽障碍患者分别实施Shaker训练和下颏抗阻力(chin tuck against resistance,CTAR)训练,分析三种训练对患者的影响。方法选择2017年2月—2019年2月厦门大学附属第一医院收治的84例鼻咽癌内镜手术后化疗患者为研究对象,按随机数字表法将患者分为对照组、Shaker组以及CTAR练组,每组各28例。三组均进行常规吞咽训练,Shaker组联合Shaker训练,CTAR组联合CTAR训练。分析三组患者吞咽能力、日常生活质量、康复治疗效果以及并发症情况。结果干预前三组患者电视透视检查(video fluoroscopy swallowing study,VFSS)评级、功能性经口摄食量表(functional oral intake scale,FOIS)评级以及吞咽障碍特异性生活质量量表(swallowing-quality of life,SWAL-QOL)评分比较,差异无统计学意义(P>0.05)。干预后Shaker组和CTAR组患者VFSS评分低于对照组,FOIS和SWAL-QOL评分高于对照组,差异有统计学意义(P<0.05)。Shaker组和CTAR组之间各评分比较,差异无统计学意义(P>0.05)。对照组患者治疗总有效率为71.43%,Shaker组患者治疗总有效率为92.86%,CTAR组患者治疗总有效率为96.43%。对照组的治疗有效率明显低于Shaker组和CTAR组,差异有统计学意义(P<0.05)。Shaker组和CTAR组治疗总有效率比较,差异无统计学意义(P>0.05)。对照组、Shaker组以及CTAR组并发症发生率分别为32.14%、7.14%以及3.57%。对照组明显高于Shaker组和CTAR组,差异有统计学意义(P<0.05);Shaker组与CTAR组比较,差异无统计学意义(P>0.05)。结论Shaker和CTAR训练均能有效缓解鼻咽癌放疗后患者的吞咽障碍症状,提高摄食功能,并发症较少,改善患者预后。
Objective To analyze the influence of Shaker training and chin tuck against resistance(CTAR)training on treatment of dysphagia after radiotherapy of nasopharynx cancer.Methods A total of 84 patients with endoscopic surgery after chemotherapy for nasopharyngeal carcinoma admitted to the First Affiliated Hospital of Xiamen University from February 2017 to February2019 were selected as the study objects.According to random number table method,the patients were divided into control group(n=28),shaker group(n=28)and CTAR training group(n=28).28 cases in each group.Patients were treated with the conventional swallowing function training,the combination of Shaker training and the combination of CTAR training,respectively.Swallowing function,quality of daily life,treatment effects and complications were analyzed.Results Before intervention,video fluoroscopy swallowing study(VFSS),functional oral intake scale(FOIS)and swallowingquality of life(SWAL-QOL)scores among groups showed no statistically significant difference(P>0.05);after intervention,VFSS scores in Shaker group and CTAR group were lower than control group;FOIS and SWAL-QOL scores were higher than control group,and the difference was statistically significant(P<0.05);Related scores between Shaker group and CTAR group showed no statistically significant difference(P>0.05);Total effective rate in Shaker group(92.86%)and CTAR group(92.86%)was significantly higher than control group(71.43%),and the difference was statistically significant(P<0.05);total effective rate between Shaker group and CTAR group showed no statistically significant difference(P>0.05);Complication rate in Shaker group(7.14%)and CTAR group(3.57%)was significantly lower than control group(32.14%),and the difference was statistically significant(P<0.05);Complication rate between Shaker group and CTAR group showed no statistically significant difference(P>0.05).Conclusion Both of Shaker training and CTAR training have fair effects on treatment of dysphagia after radiotherapy of nasopharynx cancer,which can reduce the complications,and improve the oral intake function and treatment prognosis.
作者
陈祺
陈舒强
CHEN Qi;CHEN Shuqiang(Department of Rehabilitation Medicine,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China)
出处
《中国卫生标准管理》
2023年第2期96-100,共5页
China Health Standard Management
关键词
Shaker训练
下颏抗阻力训练
鼻咽癌
放疗
吞咽障碍
康复
shaker training
chin tuck against resistance training
nasopharynx cancer
radiotherapy
dysphasia
rehabilitation
