鼻咽癌放射治疗后吞咽困难及张口受限的系统康复治疗与疗效分析  

Effect of rehabilitation on dysphagia and trismus induced by radiation in patients with nasopharyngeal carcinoma

作　　者：王一平[1] 刘宜敏[2] 蔡望青[1] 毛永林[2] 卢奎[3] 彭英[3] 唐亚梅[3] 

机构地区：[1]中山大学附属第二医院神经外科,广州510120 [2]中山大学附属第二医院放疗科 [3]中山大学附属第二医院神经科

出　　处：《中华物理医学与康复杂志》2009年第12期832-834,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：基金项目：国家自然科学基金资助项目（30600164）,中山大学“逸仙优秀医学人才”基金（2008012）

摘　　要：目的 探讨系统康复治疗对鼻咽癌放疗后吞咽困难、张口受限的疗效。方法选取43例鼻咽癌放疗后出现吞咽困难、张口受限患者，将其分为康复治疗组和对照组，康复治疗组接受系统康复治疗及对症处理，对照组仅接受对症处理。以饮水试验和LENT／SOMA张口受限评分及门齿距分别评定2组患者吞咽闲难和张口受限的变化。结果治疗后，康复治疗组饮水试验评分明显改善，其治疗有效率与对照组比较差异有统计学意义（P〈0．05）。康复治疗组门齿距缩小的程度明显低于对照组，差异有统计学意义（P〈0．05）。结论系统康复治疗能有效改善鼻咽癌放疗后患者的吞咽困难，并显著减缓张口受限，提高患者的生活质量。Objective To evaluate the effect of rehabilitation training on dysphagia and trismus in patients with nasopharyngeal carcinoma after radiotherapy. Methods Forty-three post-radiotherapy nasopharyngeal carcinoma patients were divided into a rehabilitation group and a control group. Both groups were subjected to routine treatment, while the rehabilitation group received rehabilitation training in addition. The patients were assessed with a water-swallowing test of swallowing. Late effects of normal tissues/subjective and objective medical analysis （ LENT/ SOMA） scored and inter-incisor distance were measured to assess trismus before and after treatment. Results The rehabilitation group displayed significant improvement in swallowing as well as increased inter-incisor distance. Conclusions Rehabilitation training can improve swallowing, prevent or delay trismus and improve the quality of life of patients.

关 键 词：鼻咽癌 放射治疗 乔咽障碍 张口受限 康复治疗 

分 类 号：R739.63[医药卫生—肿瘤] R49[医药卫生—临床医学]