口腔瘤治疗后的吞:一项为期五年的前性研究
Caroline M Speksnijder1,2,3, Lucía Ortiz-Comino4, Anton F J de Haan5
1Department of Oral and Maxillofacial Surgery and Special Dental Care, University Medical Center Utrecht, Utrecht University, 3584 CX Utrecht, The Netherlands.
年龄较大,女性性别和酒精消费与口腔癌幸存者的吞功能较差有关. 建议对这些患者进行早期评估和针对性治疗,重点关注舌头功能.
科学领域:
- 在瘤学瘤学.
- 语音语言病理学 语言病理学
- 康复医学 康复医学 康复医学
背景情况:
- 吞康复仍然是接受口腔癌治愈治疗的患者面临的重大挑战.
- 在这个人群中,几个因素可能会对治疗后的吞功能产生负面影响.
- 识别这些因素对于有效的管理和改善患者治疗结果至关重要.
研究的目的:
- 为了确定与吞功能相关的关键因素,在治疗口腔癌治疗后长达五年.
- 为口腔癌康复中针对性干预提供见解.
- 为了提高对幸存者的长期吞结果的理解.
主要方法:
- 评估了123名为口腔癌治疗的患者队列.
- 使用水和果测量了吞时间和频率.
- 使用混合模型分析来确定与吞功能相关的因素.
主要成果:
- 年龄显著影响了所有测量的吞结果.
- 性别,瘤位置,舌头强度和感官功能等因素与吞时间有关.
- 酒精消费和瘤分类也显示了与特定的吞措施的关联.
- 吞频率与评估时间,癌症治疗,舌头强度和感官功能有关.
结论:
- 老年患者,女性和经常饮酒的人可能经历治疗后吞功能较差.
- 对于高危患者,建议定期进行临床随访和吞评估.
- 吞治疗应优先优化舌头功能,以保持最佳的吞.
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