个体化吞咽功能康复训练在口腔癌游离皮瓣移植术后吞咽功能障碍患者中的应用效果评价  

Evaluation of application effect of personalized swallowing function rehabilitation training in patients with swallowing dysfunction after free flap transplantation for oral cancer

作　　者：蔡雪萍 CAI Xue-ping(Department of Stomatology,Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市第一医院口腔科,362000

出　　处：《中国现代药物应用》2024年第22期165-167,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 分析个体化吞咽功能康复训练在口腔癌游离皮瓣移植术后吞咽功能障碍患者中的应用效果。方法 62例口腔癌游离皮瓣移植术后吞咽功能障碍患者为研究对象,随机分为研究组与对照组,每组31例。对照组术后接受常规干预,研究组在对照组基础上开展个体化吞咽功能康复训练。比较两组不同时间点的口腔癌-曼恩吞咽能力评估量表(MASA-OC)评分、鼻胃管拔除时间及住院时间、不同时间点的血清营养指标。结果 两组术后1 d的MASA-OC评分比较无统计学差异(P>0.05);研究组术后7 d、2周及4周时MASA-OC评分分别为(90.4±10.6)、(101.6±7.3)、(113.7±6.6)分,显著高于对照组的(83.2±12.7)、(95.1±9.0)、(102.8±8.4)分(P<0.05)。研究组鼻胃管拔除时间(9.4±3.1)d、住院时间(13.8±4.2)d均短于对照组的(13.2±4.6)、(16.2±5.1)d(P<0.05)。两组患者术后1 d血清前白蛋白(PA)、白蛋白(ALB)及血红蛋白(HGB)水平比较无统计学差异(P>0.05)。术后4周,研究组血清PA(274.9±65.1)mg/L、ALB(44.2±5.6)g/L及HGB(136.9±15.3)g/L均高于对照组的(231.6±59.0)mg/L、(38.1±5.3)g/L、(127.6±13.5)g/L(P<0.05)。结论 个体化吞咽功能康复训练可促进口腔癌游离皮瓣移植术后吞咽功能障碍患者的术后吞咽功能恢复,改善营养状态,加快术后康复。Objective To analyze the application effect of personalized swallowing function rehabilitation training in patients with swallowing dysfunction after free flap transplantation for oral cancer.Methods 62 swallowing dysfunction after free flap transplantation for oral cancer were enrolled,and randomly divided into a study group and a control group,with 31 patients in each group.The control group received routine intervention after surgery,while the study group underwent personalized swallowing function rehabilitation training based on the control group.Both groups were compared in terms of Mann assessment of swallowing ability-oral cancer(MASA-OC) score at different time points,time to nasogastric tube removal,and hospital stay,and serum nutrition indicators at different time points.Results There was no statistically significant difference in MASA-OC scores between the two groups at 1 d postoperatively(P>0.05).The MASA-OC scores at 7 d,2 weeks and 4 weeks postoperatively were(90.4±10.6),(101.6±7.3) and(113.7±6.6) points in the study group,which were significantly higher than(83.2±12.7),(95.1±9.0),and(102.8±8.4) points in the control group(P<0.05).In the study group,the time to nasogastric tube removal was(9.4±3.1) d,and the hospital stay was(13.8±4.2) d,which were shorter than(13.2±4.6) and(16.2±5.1) d in the control group(P<0.05).There was no statistical difference in the comparison of serum prealbumin(PA),albumin(ALB) and hemoglobin(HGB) levels between the two groups at 1 d postoperatively(P>0.05).At 4 weeks postoperatively,the study group had serum PA of(274.9±65.1) mg/L,ALB of(44.2±5.6) g/L and HGB of(136.9±15.3) g/L,which were higher than(231.6±59.0) mg/L,(38.1±5.3) g/L,and(127.6±13.5) g/L in the control group(P<0.05).Conclusion Personalized swallowing function rehabilitation training can promote the recovery of postoperative swallowing function of patients with swallowing dysfunction after free flap transplantation for oral cancer,improve nutritional status,and accelerate postoperative rehabil

关 键 词：口腔癌 游离皮瓣移植术 吞咽功能障碍 个体化吞咽功能康复训练 鼻胃管 营养 

分 类 号：R739.8[医药卫生—肿瘤] R493[医药卫生—临床医学]