系统语音康复训练联合吞咽训练在舌癌术后患者中的应用  

Application of Systematic Speech Rehabilitation Training Combined with Swallowing Training in Patients with Tongue Cancer After Operation

作　　者：孙晓峰 孙斌 SUN Xiaofeng;SUN Bin(Department of stomatology,Wuxi Second Hospital Affiliated to Nanjing Medical University(Wuxi Second People's Hospital),Wuxi Jiangsu,214000,China)

机构地区：[1]南京医科大学附属无锡第二医院(无锡市第二人民医院)口腔科,江苏无锡214000

出　　处：《反射疗法与康复医学》2021年第18期128-130,共3页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨系统语音康复训练联合吞咽训练在舌癌术后患者中的应用效果.方法选取2016年5月—2020年6月该院收治的42例舌癌术后患者为研究对象,根据随机数字表法分为对照组(n=21)和观察组(n=21).对照组术后采用吞咽训练,观察组术后采用系统语音康复训练联合吞咽训练,两组均干预4周.对比两组干预前、干预4周时吞咽功能与语音清晰度.结果干预前,两组的吞咽功能评分比较,差异无统计学意义(P>0.05);干预4周时,两组的吞咽功能评分均低于干预前,且观察组的吞咽功能评分低于对照组,组间差异有统计学意义(P<0.05).干预前,两组的语音清晰度比较,差异无统计学意义(P>0.05);干预4周时,两组的语音清晰度均高于干预前,且观察组的语音清晰度高于对照组,组间差异有统计学意义(P<0.05).结论系统语音康复训练联合吞咽训练应用在舌癌术后患者中,能够提高患者术后吞咽功能,恢复语音清晰度.Objective To explore the effect of systematic speech rehabilitation training combined with swallowing training in patients with tongue cancer after operation.Methods 42 patients with tongue cancer after operation admitted to the hospital from May 2016 to June 2020 were selected for the study and were divided into a control group(n=21)and an observation group(n=21)according to the random number table method.The control group used post-operative swallowing training and the observation group used systematic speech rehabilitation training combined with swallowing training,with both groups intervening for 4 weeks.Swallowing function and speech intelligibility were compared between the two groups before and at 4 weeks of intervention.Results Before the intervention,the two groups had a comparative score of swallowing function,and the difference was not statistically significant(P>0.05).At 4 weeks of intervention,the swallowing function scores of both groups were lower than before the intervention,and the swallowing function scores of the observation group was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).Before the intervention,the speech intelligibility of the two groups was compared,and the difference was not statistically significant(P>0.05).At 4 weeks of intervention,the speech intelligibility of both groups was higher than before the intervention,and the speech intelligibility of the observation group was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Systematic speech rehabilitation training combined with swallowing training in postoperative tongue cancer patients can improve postoperative swallowing function and restore speech intelligibility.

关 键 词：舌癌 吞咽训练 系统语音康复训练 吞咽功能 语音清晰度 

分 类 号：R47[医药卫生—护理学]