摘要
目的 探讨温通刮痧法在头颈部肿瘤(HNC)放疗后吞咽障碍患者中的治疗效果。方法 选取2021年6月至2023年5月厦门市中医院康复科收治的HNC放疗后吞咽障碍患者60例,采用随机抽签法分为对照组(30例)、观察组(30例),对照组采用常规康复疗法,观察组在此基础上采用温通刮痧疗法。运用电视荧光吞咽检查(VFSS)记录咽期通过时间及电子鼻咽喉镜吞咽功能检查(FEES)评估渗漏误吸量表(PAS)来比较两组治疗前后的吞咽功能,运用吞咽生命质量量表(SWAL-QOL)评定患者生存质量,同时记录吸入性肺炎发生率。结果 治疗后,两组患者的吞咽功能、生命质量均较前改善(P <0.05);组间比较发现,观察组VFSS咽期通过时间短于对照组(P <0.05),PAS评分低于对照组(P <0.05),SWAL-QOL评分高于对照组(P <0.05);两组吸入性肺炎发生率比较,无显著差异(P> 0.05)。结论 温通刮痧疗法能有效改善HNC放疗后吞咽障碍患者的吞咽功能,并提高其生存质量。
Objective To investigate the therapeutic effect of wentong guasha therapy in patients with dysphagia after radiotherapy of Head and neck cancer(HNC).Methods A total of 60 patients with dysphagia after HNC radiotherapy treated in the Department of Rehabilitation,Xiamen Hospital of Traditional Chinese Medicine from June 2021 to May 2023 were selected and divided into control group(30 cases)and observation group(30 cases)by random drawing method.The control group received conventional rehabilitation therapy,and the observation group received wentong guasha therapy on the basis of this.The passage time of pharyngeal stage was recorded by television fluorescence swallowing examination(VFSS)and the leakage aspiration scale(PAS)was assessed by electronic nasopharyngoscopy swallowing function examination(FEES)to compare the swallowing function of the two groups before and after treatment.The quality of life of the patients was assessed by swallowing quality of life scale(SWAL-QOL),and the incidence of aspiration pneumonia was recorded.Results After treatment,the swallowing function and quality of life of both groups of patients improved compared to before treatment(P<0.05).The results showed that VFSS pharyngeal passage time in observation group was shorter than that in control group(P<0.05),PAS score was lower than that in control group(P<0.05),SWAL-QOL score was higher than that in control group(P<0.05).There was no significant difference in the incidence of aspiration pneumonia between the two groups(P>0.05).Conclusions Wentong guasha therapy can effectively improve the swallowing function and improve the quality of life of patients with dysphagia after HNC radiotherapy.
作者
陈添花
吴铮萍
蔡碧绸
CHEN Tianhua;WU Zhengping;CAI Bichou(Department of Rehabilitation,Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361000,China;Fujian University of Traditional Chinese Medicine,Fuzhou 350000,China)
出处
《中国医药指南》
2024年第3期109-112,共4页
Guide of China Medicine
关键词
头颈部肿瘤
温通刮痧疗法
吞咽障碍
放疗后
随机对照试验
Head and neck tumor
Wentong guasha therapy
Dysphagia
After radiotherapy
Randomized controlled trial
