在口腔癌的自由手术后早期的吞训练:随机对照试验
Hong-Yun Wu1, Xiao-Feng Shan1, Zhi-Gang Cai1
1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology, Beijing, China.
Oral diseases
|July 1, 2023
概括
早期的吞训练显著改善了接受自由重建的口腔癌患者的结果. 这种干预可以提高吞功能,营养状况和生活质量,同时减少鼻胃管的依赖性.
科学领域:
- 在瘤学瘤学.
- 手术重建手术重建的方法
- 语音语言病理学 语言病理学
背景情况:
- 口腔癌手术,特别是自由重建,往往导致吞障碍和降低生活质量.
- 由于与营养摄入和吞困难相关的并发症,术后恢复可能会延长.
研究的目的:
- 调查早期术后吞训练对口腔癌手术后患者的功能恢复和生活质量的影响.
- 为了比较接受早期吞干预的患者和接受标准护理的患者之间的结果.
主要方法:
- 一项前性随机对照试验,涉及121名接受口腔癌手术和自由重建的患者.
- 患者被分配到对照组 (常规护理) 或干预组,从术后第六天开始接受吞训练.
- 吞功能 (MASA-OC分数),体重减轻,鼻管切除时间和生活质量在手术后15天和1个月被评估.
主要成果:
- 干预组在手术后的15天和1个月内显示出明显更高的吞能力-口腔癌 (MASA-OC) 的曼评估得分.
- 与对照组相比,接受早期吞训练的患者体验到更好的减肥率.
- 在干预组中,在鼻胃管切除后的时间和整体生活质量方面,观察到有统计学意义的改善.
结论:
- 早期吞训练是接受自由重建口腔癌手术的患者的有效干预措施.
- 这种向治疗改善了吞功能,营养状况和生活质量,同时也加速了鼻胃管的切除.
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