阶段式吞咽训练联合感觉统合训练对喉部分切除患者吞咽功能及营养状态的影响  

Effect of Stage Swallowing Training Combined with Sensory Integration Training on Swallowing Function and Nutritional Status of Patients with Partial Laryngectomy

作　　者：徐会会 盖玉才 刘书秋 刘芳芳 XU Huihui;GAI Yucai;LIU Shuqiu;LIU Fangfang(Department of Otolaryngology,Yanzhou District People's Hospital,Jining City,Jining 272100,China;Department of Ultrasound,Yanzhou District People's Hospital,Jining City,Jining 272100,China)

机构地区：[1]济宁市兖州区人民医院耳鼻喉科,山东济宁272100 [2]济宁市兖州区人民医院超声科,山东济宁272100

出　　处：《反射疗法与康复医学》2024年第15期123-126,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨阶段式吞咽训练联合感觉统合训练在喉部分切除患者中的应用效果。方法选取济宁市兖州区人民医院2021年6月—2023年6月收治的86例喉部分切除患者为研究对象,依照随机数字表法将其分为对照组及观察组。对照组(n=43)采用常规干预,观察组(n=43)在对照组基础上进行阶段式吞咽训练联合感觉统合训练,均持续2个月。比较两组患者的吞咽功能、营养状态、并发症发生率及生活质量。结果观察组干预后的标准吞咽功能量表中各项评分均低于对照组,组间差异有统计学意义(P<0.05)。观察组干预后的血清白蛋白、血红蛋白及前白蛋白水平均高于对照组,组间差异有统计学意义(P<0.05)。观察组的并发症发生率为4.65%,低于对照组的20.93%,差异有统计学意义(P<0.05)。观察组干预后的中国头颈部癌患者生命质量测量量表中各维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论阶段式吞咽训练联合感觉统合训练可促进喉部分切除患者的吞咽功能恢复,改善其营养状态,进而提升患者生活质量,且并发症更少,值得临床推广使用。Objective To investigate the effect of stage swallowing training combined with sensory integration training in patients with partial laryngectomy.Methods A total of 86 patients with partial laryngectomy admitted to Yanzhou District People's Hospital of Jining City from June 2021 to June 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method.The control group(n=43)received routine intervention,and the observation group(n=43)received stage swallowing training combined with sensory integration training on the basis of the control group.Both groups continued to intervene for 2 months.The swallowing function,nutritional status,complication rate and quality of life were compared between the two groups.Results The standardized swallowing assessment scores in the observation group were lower than those in the control group after intervention,and the differences between the groups were statistically significant(P<0.05).After intervention,the levels of serum albumin,hemoglobin and prealbumin in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 4.65%,which was lower than 20.93%in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of all dimensions in the quality of life instruments for cancer patients-head and neck cancer in the observation group were higher than those in the control group,and the differences between the groups was statistically significant(P<0.05).Conclusion Stage swallowing training combined with sensory integration training can promote the recovery of swallowing function in patients with partial laryngectomy,improve their nutritional status,and thus improve the quality of life of patients with fewer complications,which is worthy of clinical promotion.

关 键 词：喉部分切除 阶段式吞咽训练 感觉统合训练 吞咽功能 营养状态 

分 类 号：R739.65[医药卫生—肿瘤]