早期吞咽功能训练对鼻咽癌放疗患者功能恢复及生活质量的影响

发布时间：2018-03-25 21:23

本文选题：鼻咽肿瘤　切入点：吞咽功能训练　出处：《中国肿瘤临床与康复》2016年02期

【摘要】：目的探讨早期吞咽功能训练对鼻咽癌放疗患者功能恢复及生活质量的影响。方法选取2010年1月至2015年7月间接受治疗的52例鼻咽癌放疗患者,根据随机数字法将其分为观察组和对照组,每组26例。观察组患者在常规治疗基础上,早期加用吞咽功能训练,对照组患者仅采用常规治疗。比较两组患者治疗前后吞咽功能的变化情况,以及放疗的临床疗效、吸入性肺炎发生率。根据生活质量测定量表(EORTC-QLQ-C30),评估和比较治疗前后患者生活质量各维度得分及总分变化情况。结果与对照组比较,观察组患者治疗后吞咽功能得到了明显改善,差异有统计学意义(P0.05)。与对照组比较,观察组患者总有效率明显提高,吸入性肺炎发生率显著降低,差异有统计学意义(P0.05)。与对照组比较,观察组患者治疗后生活质量各维度得分及总分均明显增高,差异有统计学意义(P0.05)。结论早期吞咽功能训练有助于鼻咽癌放疗患者吞咽功能的恢复,明显提高放疗的临床疗效及生活质量。
[Abstract]:Objective to investigate the effect of early swallowing function training on functional recovery and quality of life (QOL) of patients with nasopharyngeal carcinoma (NPC) after radiotherapy. Methods 52 patients with nasopharyngeal carcinoma were treated indirectly from January 2010 to July 2015. According to the random number method, the patients in the observation group were divided into two groups, the observation group and the control group, with 26 cases in each group. The patients in the observation group were treated with swallowing function training at the early stage on the basis of routine treatment. The patients in the control group were treated with routine therapy only. The changes of swallowing function before and after treatment and the clinical efficacy of radiotherapy were compared between the two groups. Incidence of aspiration pneumonia. According to EORTC-QLQ-C30, the patients' quality of life scores and total scores before and after treatment were evaluated and compared. Results compared with the control group, the swallowing function of the patients in the observation group was significantly improved after treatment. Compared with the control group, the total effective rate of the patients in the observation group was significantly increased, the incidence of aspiration pneumonia was significantly decreased, and the difference was statistically significant compared with the control group. The scores and total scores of quality of life in the observation group were significantly higher than those in the control group (P 0.05). Conclusion the early swallowing function training is helpful to the recovery of swallowing function in patients with nasopharyngeal carcinoma after radiotherapy. The clinical curative effect and quality of life of radiotherapy were improved obviously.
【作者单位】：辽宁省葫芦岛市中心医院放射肿瘤科;中日友好医院肿瘤科;
【分类号】：R739.63

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