张口功能锻炼预防鼻咽癌放疗后张口困难  

Mouth open training for prevention of trismus in nasopharyngeal carcinoma patients being treated with radiotherapy

作　　者：赵京文[1] 高黎[1] 黄晓东[1] 

机构地区：[1]中国医学科学院中国协和医科大学肿瘤研究所肿瘤医院放疗科,北京100021

出　　处：《中华放射肿瘤学杂志》2005年第3期199-200,共2页Chinese Journal of Radiation Oncology

摘　　要：目的　探讨张口功能锻炼对鼻咽癌患者放疗后张口困难的防治效果。方法　根据85例根治性放疗的鼻咽癌患者功能锻炼执行情况分为指导组和对照组。指导组在放疗开始后即在医护人员的指导和监督下按一定的时间和强度进行张口功能锻炼;对照组在无具体指导和监督下完成张口功能锻炼。在放疗前、放疗结束后1～19个月分别对两组患者的门齿距进行测量。结果　指导组放疗后张口缩小的程度明显低于对照组,分别为(0 .6 7±0 .6 5 )、(1.6 2±0 .79)cm(P <0 .0 1)。结论　张口功能锻炼可有效地降低鼻咽癌患者放疗后张口困难的发生率并减轻其程度。良好的指导和监督对提高功能锻炼的效果是必需的。Objective To analyze the role of mouth open training for preventi on of trismus in nasopharyngeal carcinoma (NPC) patients treated undergoing radi otherapy. Methods From July 2002 to December 2003, 85 NPC patients treated wi th radical radiotherapy were analyzed retrospectively. According to the performa nce of their functional mouth open training, 46 patients were assigned to the tr aining group, for whom functional training was performed with regularly and inte nsively under good guidance and supervision from the beginning of radiotherapy, 39 other patients were assigned to the control group, for whom the functional tr aining was performed without such strict supervision. Results The reduction o f the distance between the incisors were (0.67±0.65?cm) in the training group in c ontrast to the (1.62±0.79?cm) in control group (P<0.01). Conclusions It is tru e that good functional mouth open training is able to lower the incidence and th e severity of trismus in NPC patients treated with radiotherapy. Good guidance a nd supervision is necessary.

关 键 词：功能锻炼 张口困难 放疗后 鼻咽癌患者 预防 根治性放疗 对照组 防治效果 执行情况 医护人员 监督 放疗前 发生率 

分 类 号：R739.63[医药卫生—肿瘤]