功能训练对喉癌患者术后吞咽功能和生活质量的影响  

Effect of functional training on postoperative swallowing function and quality of life of laryngeal cancer patients

作　　者：王苗苗[1] 魏莉 王春琦 WANG Miaomiao;WEI Li;WANG Chunqi(Department of Elderly Rehabilitation Center,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100144,China;Department of Geriatrics,Space Center Hospital,Beijing 100049,China)

机构地区：[1]首都医科大学附属北京康复医院老年康复中心,北京100144 [2]航天中心医院老年医学科,北京1000490

出　　处：《癌症进展》2019年第2期231-233,共3页Oncology Progress

摘　　要：目的研究功能训练对喉癌术后患者吞咽功能和生活质量影响。方法回顾性分析120例喉癌患者的临床资料,根据术后康复管理方式分为观察组和对照组,每组60例。对照组患者术后接受常规管理,观察组患者在此基础上联合功能训练。采用吞咽相关生存质量量表(SWAL-QOL)和欧洲癌症研究治疗组织的生活质量核心问卷(EORTC QLQ-C30)评估两组患者吞咽功能和生活质量。结果术前,两组患者EORTC QLQ-C30评分和SWAL-QOL评分比较,差异均无统计学意义(P﹥0.05)。术后2个月,两组患者EORTC QLQ-C30评分和SW-AL-QOL评分均高于本组术前(P﹤0.05);且观察组患者EORTC QLQ-C30评分和SWAL-QOL评分均明显高于对照组患者(P﹤0.01)。术后2个月内,两组患者不良反应总发生率比较,差异无统计学意义(P﹥0.05)。结论功能训练可明显改善喉癌术后患者的吞咽功能,提高生活质量。Objective To explore the effects of functional training on postoperative swallowing function and quality of life of patients with laryngeal cancer.Method A retrospective analysis including the clinical profiles of 120 patients with laryngeal cancer was performed,who were assigned as study group or control group as per respective postoperative management,with 60 patients in each.The control group was treated with conventional nursing care after surgery,while the study group was additionally administered with functional training based on routine care.The swallowing function and quality of life were assessed using swallowing quality-of-life questionnaire(SWAL-QOL)and the European Organization for Research Treatment of Cancer(EORTC)quality of life questionnaire-C30(QLQ-C30).Result There were no significant differences between the two groups in regard to EORTC QLQ-C30 score and SWAL-QOL score before surgery(P >0.05).While in 2 months after surgery,the EORTC QLQ-C30 score and SWAL-QOL score in the two groups were significantly increased(P<0.05),and notably higher score of EORTC QLQ-C30 and SWAL-QOL were observed in study group than in control group(P<0.01).Additionally,the incidence rate of adverse reactions in the two groups were similar in 2 months after surgery(P >0.05).Conclusion Functional training has a significant effect on the postoperative swallowing function and quality of life of laryngeal cancer patients.

关 键 词：喉癌 吞咽功能 功能训练 生活质量 

分 类 号：R739.65[医药卫生—肿瘤]