系统康复训练对鼻咽癌放疗患者张口困难的改善作用  

Effects of systematic rehabilitation training on the improvement of difficulty in opening mouth in nasopharyngeal carcinoma patients undergoing radiotherapy

作　　者：张叶环 林娟 左菊萍 何艳 Zhang Yehuan;Lin Juan;Zuo Juping;He Yan(Department of Radiotherapy,Huai’an First People’s Hospital,Huai’an 223300,China)

机构地区：[1]淮安市第一人民医院放疗科,江苏淮安223300

出　　处：《海军医学杂志》2023年第3期256-259,共4页Journal of Navy Medicine

摘　　要：目的探究系统康复训练对鼻咽癌放疗患者张口困难的改善作用。方法选取2019年7月至2021年6月在淮安市第一人民医院接受放疗的82例鼻咽癌患者为研究对象,采用随机数字表法将患者分为对照组和观察组,每组各41例。2组患者均实施常规护理干预,观察组在对照组基础上实施系统康复训练。观察并比较2组患者在干预前后张口受限程度、颞颌关节移动度以及生活质量。结果干预前,2组患者张口受限程度、生命质量通用量表(FACT⁃G)评分、颞下颌关节移动度比较,差异均无统计学意义(P>0.05)。干预后,观察组患者张口受限程度均低于对照组(P<0.05)。2组患者颞下颌关节移动度均高于干预前,观察组高于对照组(P<0.05)。2组患者FACT⁃G评分均高于干预前,观察组高于对照组(P<0.05)。结论对鼻咽癌放疗后张口困难患者实施系统康复训练助于缓解张口受限程度,提高颞下颌关节移动度,改善生活质量。Objective To explore the effets of systemstic rehabilitation training on the improvement of difficulty in opening mouth in nasopharyngeal carcinoma(NPC)patients undergoing radiotherapy.Methods A total of 82 NPC patients undergoing radiotherapy in Huai'an First People's Hospital from July 2019 to June 2021 were selected as study subjects,and were divided into the control group and the observation group by randomized number table method,each consisting of 41.Both groups received routine nursing intervention,and the observation group was treated with the systematic rehabilitation training on the basis of the control group.Before and after intervention,mouth opening limitation,temporomamndibular joint(TMJ)mobility,and life quality were observed and compared between the patients of both groups.Results Before intervention,there was no statistical significance in mouth opening limitation when comparisons were made between the 2 groups(P<0.05).After intervention,mouth opening limitation of both groups all improved,with that of the observation group being superior to that of the control group(P<0.05).Before intervention,there was no statistical significance in FACT⁃G,when comparisons were made between the 2 groups(P<0.05).After intervention,the FACT⁃G scores of both groups were all higher than those before intervention,with the observation group being higher than those the control group(P<0.05).Conclusion The implementation of systematic rehabilitation training in the patients with nasopharyngeal carcinoma after radiotherapy could enable improvement of restricted mouth opening,improve mobility of mandibular joint and improve life quality.

关 键 词：鼻咽癌 放疗 张口困难 系统康复训练 生活质量 

分 类 号：R739.63[医药卫生—肿瘤]