多功能口腔支撑器在鼻咽癌患者放疗后张口功能锻炼的应用效果  

The Application Effect of Multifunctional Oral Support Device in Mouth-Opening Function Exercise for Patients with Nasopharynx Cancer after Radiotherapy

作　　者：钱玉霞 李祎萍 QIAN Yu-xia;LI Yi-ping(The Affiliated Taizhou People’s Hospital of Nanjing Medical University,Taizhou Jiangsu 225300,China)

机构地区：[1]南京医科大学附属泰州人民医院,江苏泰州225300

出　　处：《泰州职业技术学院学报》2025年第2期83-86,共4页Journal of Taizhou Polytechnic College

摘　　要：目的观察利用新型多功能口腔支撑器进行张口锻炼对鼻咽癌患者放疗后张口功能及营养状况的影响。方法研究纳入62名接受根治性放射治疗的鼻咽癌患者,依据随机数字生成原则将其分为两个组别:观察组(n=32)与对照组(n=30)。观察组患者接受由新型多功能口腔支撑器辅助的张口锻炼方案;而对照组则沿用传统的软木塞方法进行支撑锻炼。通过对比分析,评估两组患者的锻炼依从性、放射治疗6个月后张口受限的发生率及其严重程度,以及相应的营养状况指标。结果观察组在口腔支撑训练的依从性优于对照组,两组差异具有统计学意义(P<0.05);观察组患者的张口受限情况、发生率及严重程度均较对照组有所减轻,差异具有统计学意义(P<0.05);观察组营养指标:血清总蛋白、白蛋白水平高于对照组,差异具有统计学意义(P<0.05)。结论鼻咽癌患者放疗后使用多功能口腔支撑器能显著提升其张口锻炼的依从性,有效减少放疗后张口困难发生率及严重程度,改善患者放疗后的营养状况。Objective To observe the effect of mouth opening exercise using a new multifunctional oral support on mouth opening function and nutritional status of nasopharyngeal carcinoma patients after radiotherapy.Methods Sixty-two patients with nasopharyngeal carcinoma who underwent radical radiotherapy were included in the study and were divided into two groups according to the principle of random number generation:the observation group(n=32)and the control group(n=30).The patients in the observation group received a mouth opening exercise program assisted by a new multifunctional oral support device,while the control group followed the traditional cork method of support exercise.Through comparative analyses,this study evaluated the exercise compliance,the incidence of mouth opening restriction and its severity after 6 months of radiotherapy,and the corresponding nutritional status indicators of the two groups.Results The compliance of the observation group in oral support training was better than that of the control group,and the difference between the two groups was statistically significant(P<0.05);the patients in the observation group were less restricted in opening their mouths,both in terms of incidence and severity,than those in the control group,and the difference was statistically significant(P<0.05);the nutritional indexes of the observation group:the levels of serum total protein and albumin were higher than those of the observation group,and the difference was statistically significant(P<0.05).Conclusion The use of multifunctional mouth support after radiotherapy for nasopharyngeal carcinoma patients can significantly improve their adherence to mouth-opening exercise,effectively reduce the incidence and severity of mouth-opening difficulties after radiotherapy,and improve the nutritional status of patients after radiotherapy.

关 键 词：口腔支撑器 鼻咽癌 放疗 张口困难 功能锻炼 营养 

分 类 号：R473.73[医药卫生—护理学]