摘要
目的探讨鼻咽癌患者放射治疗后吞咽困难及张口受限者行系统康复治疗的临床效果。方法选取2016年1月至2018年1月于本院就诊的鼻咽癌放射治疗患者60例,采用随机数字表法分为观察组和对照组,每组30例,所有患者均给予对症支持治疗及高压氧治疗,观察组在此基础上进行系统的吞咽功能训练。比较两组治疗前后的张口受限程度、吞咽功能情况及临床治疗效果。结果观察组患者治疗前后发生Ⅰ级张口受限的例数分别为16例和10例,Ⅱ级分别为14例和8例,Ⅲ级和Ⅳ级均为0例。对照组治疗前后发生Ⅰ级张口受限的例数分别为18例和9例,Ⅱ级分别为11例和13例,Ⅲ级为0例和3例,Ⅳ级均为0例。观察组治疗前的门齿距为(2.6±0.7)cm,经系统康复治疗后的门齿距为(2.3±0.4)cm;对照组治疗前的门齿距为(2.5±0.7)cm,经常规治疗后的门齿距为(1.6±0.7)cm。观察组患者治疗后的门齿距明显大于对照组患者,差异有显著性(P<0.05)。观察组治疗后的吞咽功能改善率为73%(22例),明显优于对照组的37%(11例),差异有显著性(χ~2=16.5165,P<0.05)。经系统康复治疗后观察组的治疗总有效率为93%(28/30),明显优于对照组的43%(13/30),差异有显著性(χ~2=17.3299,P<0.05)。结论系统康复治疗可有效缓解鼻咽癌放射治疗患者的临床症状,改善吞咽障碍及张口受限,进而提高患者的生活质量。
Objective To analyze the clinical effect of patients with nasopharyngeal carcinoma with dysphagia after radiotherapy and patients with open mouth limited by systematic rehabilitation therapy. Method Chosen from January 2016 to January 2016 in our hospital during the period of 60 patients with nasopharyngeal carcinoma radiotherapy, using the random number table method for grouping, divided into observation group and control group, 30 cases in each group, all patients were symptomatic support treatment with hyperbaric oxygen therapy. To compare and analyze the limit of mouth opening, the swallowing function before and after treatment in two groups of patients, and the clinical therapeutic effect of two groups of patients. Result The observation group of patients before and after treatment of Ⅰ level number was 16 cases and 10 cases, number of Ⅱ level before and after treatment was 14 cases and 8 cases, Ⅲ level and Ⅳ level before and after treatment were 0. The control group patients before and after treatment of Ⅰ level number was 18 cases and 9 cases, number of Ⅱ level before and after treatment was 11 cases and 13 cases, Ⅲ level before and after treatment of 0 case and 3 cases,Ⅳ level was 0 case. The observation group of patients before treatment from the incisors was（2.6±0.7）cm, line system of rehabilitation from incisors was（2.3±0.4）cm, the control group patients before treatment from the incisors was（2.5±0.7）cm, after the conventional treatment of incisors is apart from the（1.6±0.7）cm, the observation group of patients after treatment of incisors significantly better than the control group patients from narrow degree and the data contrast differences between the two groups, statistically significant difference（P〈0.05）.Line system after rehabilitation treatment, treatment group total effective rate of 93%（28 cases） and the control group in the treatment of patients with 43%（13 cases）, the total effective rate of treatment group total effectiveness was significantly higher than the control group, patients with data contrast differences between the two groups was obvious, the difference statistically significant（χ2=17.3299, P〈0.05）. The observation group of patients with swallowing function period of 73%（22 cases）, the control group patients＇ swallowing function period of 37%（11 cases） in the observation group of patients with swallowing function period was significantly superior to control group, data contrast differences between the two groups was obvious, the difference statistically significant（χ2=16.5165, P〈0.05）. Conclusion Systematic rehabilitation therapy in patients with nasopharyngeal carcinoma radiotherapy, which can effectively relieve patients＇ symptoms, and difficult to open mouth to improve swallowing disorder in patients with symptoms, and improve the quality of life of patients, the clinical treatment effect is significant, worthy of application and popularization in clinic.
作者
王剑
WANG Jian(Department of Otolaryngology,Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University,Sichuan Luzhou 646000,China)
出处
《中国医刊》
CAS
2018年第8期921-923,共3页
Chinese Journal of Medicine
关键词
鼻咽癌放射治疗
吞咽困难
张口受限
系统康复治疗
Radiotherapy for nasopharyngeal carcinoma
Difficulty swallowing
Open mouth restricted
System rehabilitation
