家庭吞咽训练计划对头颈部肿瘤放疗患者吞咽功能的效果

doi:10.3969/j.issn.1006-9771.2022.02.014

Abstract

Abstract:

Objective To explore the effect of family swallowing training program on swallowing function in patients with head and neck cancer after radiotherapy. Methods From September, 2020 to September, 2021, 45 patients with head and neck tumors who received radiotherapy in the oncology department of Beidahuang Industry Group General Hospital were randomly divided into control group (n = 23) and observation group (n = 22). Both groups received routine treatment, and the observation group received swallowing training program for 14 weeks at the beginning of radiotherapy, including six weeks of individualized guidance training in hospital and eight weeks of home training after leaving the hospital. The incisors spacing, body mass, Kubota Water Swallowing Test (WST) and Functional Oral Intake Scale (FOIS) were compared at the beginning of training, six weeks and 14 weeks after training. Results At the beginning of training, there was no significant difference in incisor spacing, body mass and the scores of WST and FOIS between two groups (P > 0.05). Six weeks and 14 weeks after training, the incisors spacing, and the scores of WST and FOIS were better in the observation group than in the control group (|Z| > 2.332, P < 0.05). Conclusion Family-based swallowing training program is helpful to improve the limitation of mouth opening and dysphagia caused by radiotherapy. Family-based swallowing training program is simple, safe, economical and highly operable, which is worthy of clinical promotion.

Key words: head and neck cancer, radiotherapy, family-based swallowing training program, rehabilitation, dysphagia

CLC Number:

R730.5

WANG Xiaoxue,YANG Chen,SUN Fei,DU Qianhua,ZHANG Jun. Effect of family-based swallowing training program on swallowing function for patients with head and neck cancer undergoing radiotherapy[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(2): 227-231.

Figures/Tables 4

References 28

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组别	n	年龄/岁	性别/n		疾病类型/n					分期/n				平均放射剂量/cGy	总放疗剂量/cGy
组别	n	年龄/岁	男	女	喉	鼻咽	下咽	口咽	其他	I	II	III	IV	平均放射剂量/cGy	总放疗剂量/cGy
对照组	23	57.35±12.34	18	5	7	5	5	4	2	6	4	4	9	206.26±6.88	6543.48±541.74
观察组	22	59.23±7.13	17	5	8	3	5	3	3	4	4	3	11	208.04±8.84	6545.45±595.80
t/χ²/Z值		-0.622	0.006		1.503^a					-0.733				-0.449	-0.144
P值		0.537	0.936		0.895					0.463				0.654	0.886

组别	n	训练前	训练6周	训练14周
对照组	23	4.89±0.31	3.77±0.40	4.30±0.45
观察组	22	4.81±0.40	4.33±0.43	4.69±0.36
t值		0.728	-4.546	-3.265
P值		0.470	< 0.001	0.002

组别	n	训练前	训练6周	训练14周
对照组	23	64.44±10.43	54.22±8.74	60.85±9.03
观察组	22	65.77±6.92	58.11±7.11	64.52±6.18
t值		-0.504	-1.636	-1.587
P值		0.617	0.109	0.120

组别	n	WST			FOIS
组别	n	训练前	训练6周	训练14周	训练前	训练6周	训练14周
对照组	23	1(1, 2)	3.5(2, 5)	2(1, 5)	7(6, 7)	4(3, 6)	6(3, 7)
观察组	22	1(1, 2)	2.5(2, 4)	1(1, 5)	7(6, 7)	5(4, 7)	7(3, 7)
Z值		-1.157	-3.334	-2.332	-0.810	-3.258	-2.895
P值		0.247	0.001	0.020	0.418	0.001	0.004

Effect of family-based swallowing training program on swallowing function for patients with head and neck cancer undergoing radiotherapy

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